Most Relevant Information
Provider Data
| NPI Number: | 1003572629 |
| Provider Name: | MARA SCHIFFHAUER OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 261QM1300X |
| Specialty: | Clinic/Center |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 11/09/2021 |
Provider Practice Location
56 MAIN ST UNIT 1A
SOUTHAMPTON
NJ
080888896
Practice Location Phone/Fax
| Phone: | 6093884782 |
| Fax: |
Provider Mailing Location
1701 ARCH ST APT 802
PHILADELPHIA
PA
191032670
Provider Mailing Phone/Fax
| Phone: | 6097844744 |
| Fax: |