Kalyn Mashae Wickline, M.S.O.T.
NPI #1710270178 in Weehawken, New Jersey
Provider Information
- NPI Number
- 1710270178
- Entity Type
- Individual
- Name
- Kalyn Mashae Wickline, M.S.O.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- M.S.O.T.
- Enumeration Date
- May 18, 2011
- Last Updated
- Jul 7, 2015
Practice Location
- Address
- 600 GREGORY AVE
- City
- Weehawken
- State
- New Jersey
- ZIP Code
- 07086-5814
- Phone
- (860) 417-8158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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