Provider Demographics
NPI:1306477815
Name:MABALE, FERDINAND MARK CUYNO (OTR/L)
Entity type:Individual
Prefix:MR
First Name:FERDINAND MARK
Middle Name:CUYNO
Last Name:MABALE
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 INVERNESS DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6324
Mailing Address - Country:US
Mailing Address - Phone:848-221-6229
Mailing Address - Fax:
Practice Address - Street 1:3415 INVERNESS DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6324
Practice Address - Country:US
Practice Address - Phone:848-221-6229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist