Individual
KRISTINE WIGGINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
39 WILLETSVILLE PIKE, HILLSBORO, OH 45133-8277
(937) 393-3475
Mailing address
11690 STATE ROUTE 72, LEESBURG, OH 45135-9365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP.10903
OH
Other
Enumeration date
03/06/2014
Last updated
08/03/2016
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