Individual
MS. GRACE A MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
154 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3017
(973) 535-5010
Mailing address
154 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3017
(973) 535-5010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00149200
NJ
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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