Iacobucci, Maura Kathryn
Iacobucci, Maura Kathryn is an individual health care provider with primary practice located at 111 Washington St Fl 2 , Hoboken NJ 07030-7796. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Iacobucci, Maura Kathryn can be contacted via phone (201) 808-2245.Contact Information
Primary practice address
111 Washington St Fl 2
Hoboken NJ 07030-7796
Phone: (201) 808-2245
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 025011 | New York |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 46TR00945900 | New Jersey |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056011801 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 056011801 | Illinois |
Profile Details
| NPI number | 1871039677 |
|---|---|
| LBN Legal business name | Iacobucci, Maura Kathryn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2017 |
| Last updated | Jan 10th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871039677 | NPPES |
| Illinois | Other | 1972691244 | DO NOT TREAT MEDICAID OR MEDICARE PATIENTS |
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