Individual
LAMICHAEL JAMAR BLOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.A.S
Contact information
Practice address
26A RANDOLPH ST, CARTERET, NJ 07008-3012
(732) 814-8470
Mailing address
26A RANDOLPH ST, CARTERET, NJ 07008
(732) 814-8470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00267100
NJ
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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