Individual
BLYTHE LYNN DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
450 SAINT PAULS PL, BRONX, NY 10456-1938
(718) 861-0058
Mailing address
1200 LEXINGTON AVE APT 4D, NEW YORK, NY 10028-1460
(914) 826-3575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021254
NY
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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