Kali Knight

Individual provider Active NPI Pediatric Occupational Therapist · North Stonington, CT

NPI 1063279727 · NPPES record last updated Feb 29, 2024

Key facts

NPI
1063279727
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
OT01220 (RI)
Practice address
174 Denison Hill Rd
North Stonington, CT 06359-1101
Phone
(508) 971-3848
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT01220RIMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT01220 RI Yes

Addresses

Primary practice location

174 Denison Hill Rd
North Stonington, CT 06359-1101

Mailing address

174 Denison Hill Rd
North Stonington, CT 06359-1101
Phone (508) 971-3848

Other providers in North Stonington, CT

All providers in North Stonington, CT · Pediatric Occupational Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.