Individual
MS. CHRISTINE VICHICH KLIGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3061
(518) 867-3066
Mailing address
17111 ORANGEWOOD DR, LUTZ, FL 33548-4505
(727) 542-0698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007872-1
NY
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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