Individual
MARY ELLEN BECKWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 HAYES MILL RD, ATCO, NJ 08004-2457
(856) 753-2000
Mailing address
34B SKEET RD, MEDFORD, NJ 08055-9607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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