Individual
KAREN BETH WILLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1415 QUEEN ANNE RD STE 100, TEANECK, NJ 07666-3521
(201) 837-9993
Mailing address
20 W PALISADE AVE APT 2229, ENGLEWOOD, NJ 07631-2745
(201) 233-7746
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00423800
NJ
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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