Individual
MATTHEW TYLICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 854-5000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09117400
NJ
Other
Enumeration date
12/26/2016
Last updated
12/26/2016
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