Individual
MR. MAYK ALSAQQA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 MORTIMER AVE, RUTHERFORD, NJ 07070-1615
(973) 356-9009
Mailing address
126 MORTIMER AVE, RUTHERFORD, NJ 07070-1615
(973) 356-9009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
47TR00153800
NJ
Other
Enumeration date
09/15/2019
Last updated
09/15/2019
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