Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KRISTEN S. WIESE, MA, OTR/L
Active Sole ProprietorKRISTEN S. WIESE, MA, OTR/L is a Occupational Therapist healthcare provider located in LOS RANCHOS, New Mexico. NPI 1841473527 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LOS RANCHOS, NM
Registration Details
- NPI Number
- 1841473527
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 17, 2007 (18.618424840253 yrs)
- Last Updated
- Apr 12, 2010
- Licenses
-
2414 (NM)2414 (NM)2414 (NM)2414 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
608 BLEDSOE RD NWLOS RANCHOS, NM, 871076219Browse NM providers · Browse ZIP 87107
- Phone
- 5059080717
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Human Factors Occupational Therapist
- Additional Specialty
- Neurorehabilitation Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
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.