Individual
ELLEN S MACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
70 STOCKTON AVE, OCEAN GROVE, NJ 07756-1150
(732) 774-1316
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
07/04/2006
Last updated
07/08/2007
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