Provider Demographics
NPI:1548999816
Name:MARCY FREEDMAN LLC
Entity type:Organization
Organization Name:MARCY FREEDMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JOINT PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FREEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L
Authorized Official - Phone:248-320-9328
Mailing Address - Street 1:12 CHURCHILL CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-3203
Mailing Address - Country:US
Mailing Address - Phone:248-320-9328
Mailing Address - Fax:
Practice Address - Street 1:12 CHURCHILL CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-3203
Practice Address - Country:US
Practice Address - Phone:248-320-9328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty