Provider Demographics
NPI:1770862211
Name:ABEL, MARJORIE ANN
Entity type:Individual
Prefix:
First Name:MARJORIE
Middle Name:ANN
Last Name:ABEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5821 NW 63RD PL
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4457
Mailing Address - Country:US
Mailing Address - Phone:610-952-1809
Mailing Address - Fax:
Practice Address - Street 1:5821 NW 63RD PL
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33067-4457
Practice Address - Country:US
Practice Address - Phone:610-952-1809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist