Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KALYN MASHAE WICKLINE, M.S.O.T.
Active Sole ProprietorKALYN MASHAE WICKLINE, M.S.O.T. is a Occupational Therapist healthcare provider located in WEEHAWKEN, New Jersey. NPI 1710270178 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WEEHAWKEN, NJ
Registration Details
- NPI Number
- 1710270178
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2011 (15.057473808545 yrs)
- Last Updated
- Jul 7, 2015
- Licenses
-
016760 (NY)46TR00605700 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 GREGORY AVEWEEHAWKEN, NJ, 070865814Browse NJ providers · Browse ZIP 07086
- Phone
- 8604178158
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
Other Occupational Therapist Providers in WEEHAWKEN, NJ
| Name | Credential | NPI |
|---|---|---|
| MRS. LARISSA BELTRAO GOMES | OT | 1871719534 |
| GRACE DENFELD | OTR/L | 1437867801 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.