Individual
NICHOLAS CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
24 STEWART AVE, KEARNY, NJ 07032-1724
(201) 618-8061
Mailing address
24 STEWART AVE, KEARNY, NJ 07032-1724
(201) 618-8061
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00668400
NJ
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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