National Provider Identifier

Kristina Peterson

Kristina Peterson is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Kenmore, NY and a listed phone number of (716) 874-6176.

NPI 1093362964Kenmore, NYPediatric Occupational Therapist

Profile Overview

NPI
1093362964
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
August 24, 2019
Last Updated
August 24, 2019

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6176

Mailing Address

  • 45 Sable Palm Dr
  • Depew, NY 14043-1224

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1093362964
Entity Type
Individual
Last Name
Peterson
First Name
Kristina
Mailing Street Address
45 Sable Palm Dr
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1224
Mailing Country
US
Mailing Phone
(315) 708-5999
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6176
Enumeration Date
August 24, 2019
Last Updated
August 24, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)