National Provider Identifier

Kristina Marie Wight

Kristina Marie Wight is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Ithaca, NY and a listed phone number of (607) 351-9778.

NPI 1093960734Ithaca, NYPediatric Occupational Therapist

Profile Overview

NPI
1093960734
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
November 21, 2008
Last Updated
November 21, 2008

Practice Location

  • 630 Warren Pl
  • Ithaca, NY 14850-3147

Phone: (607) 351-9778

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1093960734
Entity Type
Individual
Last Name
Wight
First Name
Kristina
Middle Name
Marie
Mailing Street Address
630 Warren Pl
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-3147
Mailing Country
US
Mailing Phone
(607) 351-9778
Practice Street Address
630 Warren Pl
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3147
Practice Country
US
Practice Phone
(607) 351-9778
Enumeration Date
November 21, 2008
Last Updated
November 21, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)