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Individual

MAKENA DE KRAFFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
204 ARK RD STE 105C, MOUNT LAUREL, NJ 08054-3190
(856) 492-1355
Mailing address
31 CATTAIL DR, MOUNT LAUREL, NJ 08054-3087
(856) 979-2913

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01019700
NJ

Other

Enumeration date
09/22/2021
Last updated
09/22/2021
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