Individual
MRS. NAN MARILYN BLANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1701 KNEELEY BLVD, OCEAN, NJ 07712-7622
(732) 493-5900
Mailing address
38 WALNUT PL, WEST LONG BRANCH, NJ 07764-1601
(908) 675-6853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00099500
NJ
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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