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Organization

MARQUIS THERAPY OF NJ LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SIMCHA SZENDRO (OWNER)
(732) 668-8442
Entity
Organization

Contact information

Practice address
12 BOURBON CT, LAKEWOOD, NJ 08701-3784
(732) 668-8442
Mailing address
12 BOURBON CT, LAKEWOOD, NJ 08701-3784

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1041C0700X
Clinical Social Worker
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Enumeration date
04/08/2020
Last updated
04/08/2020
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