Kristina Marie Forrest

Individual provider Active NPI Occupational Therapy Assistant · Red Hook, NY

NPI 1306346523 · NPPES record last updated Feb 14, 2018

Key facts

NPI
1306346523
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
P09321 (NY)
Practice address
40 Devereux Way
Red Hook, NY 12571-2268
Phone
(845) 758-1899
NPI assigned
Feb 14, 2018
Sex
Female
Sole proprietor
No

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
P09321NYMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X P09321 NY Yes

Addresses

Primary practice location

40 Devereux Way
Red Hook, NY 12571-2268

Mailing address

40 Devereux Way
Red Hook, NY 12571-2268

Other providers in Red Hook, NY

All providers in Red Hook, NY · Occupational Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.