Delage, Mary

Delage, Mary is an sole proprietor health care provider with primary practice located at 130 N Gross Rd Ste 125 , Kingsland GA 31548-6263. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Delage, Mary can be contacted via phone (912) 342-8875.

Contact Information

Primary practice address
130 N Gross Rd Ste 125 Kingsland GA 31548-6263
Phone: (912) 342-8875
Fax: (912) 265-0041
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OT007568 Georgia

Profile Details

NPI number 1427692458
LBN Legal business name Delage, Mary
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2019
Last updated Nov 2nd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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