Individual
CYNTHIA T BLAUVELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(551) 427-5682
Mailing address
65 BERGEN ST, NEWARK, NJ 07107-3001
(551) 427-5682
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09038900
NJ
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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