Individual
MS. KRISTINE ANN BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
414 HACKENSACK AVE APT 2319, HACKENSACK, NJ 07601-6585
(732) 447-6916
Mailing address
414 HACKENSACK AVE APT 2319, HACKENSACK, NJ 07601-6585
(732) 447-6916
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01003500
NJ
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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