Individual
ANITA FAITH MAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 OLD YORK ROAD, SUITE 400, JENKINTOWN, PA 19046
(877) 504-3626
Mailing address
2350 TREMONT ST APT 1003, PHILADELPHIA, PA 19115-5052
(267) 461-2248
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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