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1093960734
KRISTINA MARIE WIGHT
ITHACA, NY
NPI
1093960734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 005487-1)
Enumeration Date
2008-11-21
Last Update Date
2008-11-21
Business Address
-- KRISTINA MARIE WIGHT
630 WARREN PL
ITHACA, NY 14850-3147
Phone number: 607-351-9778
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Mailing Address
-- KRISTINA MARIE WIGHT
630 WARREN PL
ITHACA, NY 14850-3147
Phone number: 607-351-9778
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