Individual
MICHELLE BLUMENFRUCHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6612 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1719
(201) 854-5511
Mailing address
411 OGDEN AVE, TEANECK, NJ 07666-2819
(201) 833-1968
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00859900
NJ
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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