Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTA IWANICKI
ActiveKRISTA IWANICKI is a Pediatric Occupational Therapist healthcare provider located in SOUTH WINDSOR, Connecticut. NPI 1184261018 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · SOUTH WINDSOR, CT
Registration Details
- NPI Number
- 1184261018
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2019 (6.6398458440463 yrs)
- Last Updated
- Sep 4, 2022
- License
-
6039 (CT)
Practice Information
- Address
-
915 SULLIVAN AVE STE 3SOUTH WINDSOR, CT, 060742165Browse CT providers · Browse ZIP 06074
- Phone
- 8606442335
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in SOUTH WINDSOR, CT
| Name | Credential | NPI |
|---|---|---|
| MADELYN RAE BEDARD | MOT, OTR/L | 1629848338 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.