Kalyn M Wickline, MSOT
Occupational Therapist in Weehawken, New Jersey
1710270178- Practice location
- 600 Gregory Ave, Weehawken, NJ 07086-5814
- Phone
- 860-417-8158
- Fax
- —
- Last updated
- July 7, 2015
Kalyn Mashae Wickline is an Occupational Therapist based in Weehawken, NJ. Kalyn Mashae Wickline practices in Weehawken, NJ and has the professional credentials of MSOT. The NPI Number for Kalyn Mashae Wickline is 1710270178 and holds a License No. 016760 (NY). The current practice location address for Kalyn Mashae Wickline is 600 Gregory Ave, Weehawken, NJ 07086-5814 and can be reached out via phone at 860-417-8158.
Provider Profile Details
- NPI Number
- 1710270178
- Provider Name
- Kalyn Mashae Wickline
- Credential
- MSOT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 600 Gregory Ave, Weehawken, NJ 07086-5814
- Phone Number
- 860-417-8158
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2011
- Last Update Date
- July 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 600 Gregory Ave
Weehawken, NJ 07086-5814 - City
- Weehawken
- State
- New Jersey
- Zip
- 07086-5814
- Phone Number
- 860-417-8158
Provider Business Mailing Address Details
- Address
- 600 Gregory Ave
Weehawken, NJ 07086-5814 - City
- Weehawken
- State
- NJ
- Zip
- 07086-5814
- Phone Number
- 860-417-8158
License Information
- License Number (1)
- 016760
- License State (1)
- NY
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 46TR00605700
- License State (2)
- NJ
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kalyn M Wickline, MSOT?
The NPI number of Kalyn M Wickline, MSOT is 1710270178. It was assigned on May 18, 2011 and is currently active in the NPPES registry.
What is the specialty of Kalyn M Wickline, MSOT?
Kalyn M Wickline, MSOT is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NY under license number 016760.
Where does Kalyn M Wickline, MSOT practice?
The practice location is 600 Gregory Ave, Weehawken, NJ 07086-5814. The office can be reached at 860-417-8158 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710270178 directly on the NPPES registry website.