Individual
MARYROSE KATHLEEN MIELCZAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1415 ROUTE 70 EAST, CHERRY HILL, NJ 08034
(800) 670-3893
(800) 905-4690
Mailing address
462 MILLBRIDGE APARTMENTS, CLEMENTON, NJ 08021
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00219000
NJ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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