Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | AH 1897-OT | MA |
Y | 225XP0200X | Occupational Therapist - Pediatrics | AH 1897-OT | MA |
NPI | 1235254913 |
---|---|
Provider Name | Cleopatra Peterson Knight-Wilkins |
First Address | Hull, MA 02045 |
Second Address | Hull, MA 02045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 12/11/2010 |