Individual
MRS. AMANDA NICOLE SECKRETTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1051 W SHERMAN AVE, VINELAND, NJ 08360-6931
(856) 696-5656
(856) 696-0580
Mailing address
1700 OLYMPUS AVE, BLACKWOOD, NJ 08012-5040
(609) 234-5479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR0049000
NJ
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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