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Contact Information

MARY'S PLACE PEDIATRIC REHAB, INC.
9004 LINCOLN DR W STE F
MARLTON, NJ08053-3206
 Phone: 856-988-1160
 Fax: 856-988-1183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MARY'S PLACE PEDIATRIC REHAB, INC.

NPI Number 1073660387
LBN Legal business name MARY'S PLACE PEDIATRIC REHAB, INC.
Authorized official TARA MONTAGUE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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