Individual
MS. STEPHANIE LEIGH BLODGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR-L, CBIS
Contact information
Practice address
18-01 POLLITT DR, SUITE 1A, FAIR LAWN, NJ 07410-2813
(201) 478-4200
(201) 478-4201
Mailing address
760 BELMONT AVE, NORTH HALEDON, NJ 07508-2309
(201) 478-4200
(201) 478-4201
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00351900
NJ
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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