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Individual

MR. MARK TRACHTENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
689 W MAIN ST, FREEHOLD, NJ 07728-2511
(732) 414-0139
Mailing address
689 WEST MAIN STEEET, FREEHOLD, NJ 07728
(732) 414-0138

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TA09116400
NJ

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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