Healthcare Provider Details

I. General information

NPI: 1952998767
Provider Name (Legal Business Name): DANIELLE MAURO OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2020
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 S DELSEA DR
VINELAND NJ
08360-4568
US

IV. Provider business mailing address

352 S DELSEA DR UNIT C
VINELAND NJ
08360-5308
US

V. Phone/Fax

Practice location:
  • Phone: 856-690-1616
  • Fax: 856-896-6107
Mailing address:
  • Phone: 856-690-1616
  • Fax: 856-896-6107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00963500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: