Individual
BLAKE SCHICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 SUMMIT AVE, NEWTON, NJ 07860-1205
(973) 383-1450
Mailing address
1 SUMMIT AVE, NEWTON, NJ 07860-1205
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09112400
NJ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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