Healthcare Provider Details

I. General information

NPI: 1427637032
Provider Name (Legal Business Name): MRS. ALLIE MAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLIE SCHWARTZ

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 NJ-70
MEDFORD NJ
08055
US

IV. Provider business mailing address

9 PADDOCK RD
MARLTON NJ
08053-5723
US

V. Phone/Fax

Practice location:
  • Phone: 609-613-4889
  • Fax:
Mailing address:
  • Phone: 908-907-3414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number46TR00982700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: