Individual
KRISTINA TERESITA NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
128 W CLARKSTOWN RD, NEW CITY, NY 10956-1558
(914) 393-9285
Mailing address
128 W CLARKSTOWN RD, NEW CITY, NY 10956-1558
(914) 393-9285
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010674
NY
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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