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Individual

MRS. MICHELLE K BLUMENSTYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR, CHT

Contact information

Practice address
106 GRAND AVE, ENGLEWOOD, NJ 07631-3574
(201) 503-0291
(201) 503-0293
Mailing address
106 GRAND AVE, ENGLEWOOD, NJ 07631-3574
(201) 503-0291
(201) 503-0293

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00017700
NJ
225XH1200X
Hand Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202370196
HORIZON BLUE CROSS
NJ
01
5780436
AETNA
NJ
01
J36533
HEALTHNET
NJ
01
P3604499
OXFORD
NJ
Enumeration date
06/14/2006
Last updated
02/20/2009
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