Individual
MRS. MADELINE FENEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
1700 WYNWOOD DR, CINNAMINSON, NJ 08077-2440
(856) 829-9000
Mailing address
725 S CHESTER AVE, RIVERSIDE, NJ 08075-4108
(856) 255-5118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00500200
NJ
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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