Individual
MARY ALBERT MALLARI REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 N WASHINGTON AVE, BERGENFIELD, NJ 07621-2126
(201) 387-8500
Mailing address
120 LAKE ST, JERSEY CITY, NJ 07306-3409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR0140600
NJ
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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