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Contact Information

MAURA K IACOBUCCI, OTR/L
111 WASHINGTON ST FL 2
HOBOKEN, NJ07030-7796
 Phone: 201-808-2245
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MAURA K IACOBUCCI · (Female)

NPI # 1871039677
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 01/17/2017
Last updated 01/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 056011801
  • NJ License # 46TR00945900
  • NY License # 025011
  • IL Other 1972691244 DO NOT TREAT MEDICAID OR MEDICARE PATIENTS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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