| Doctor Name: | SHENITA WIGGINS |
| NPI Number: | 1043553175 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 950 Campbell Ave Eastern Blind Rehabilitation Service Center West Haven, CT - 06516 |
| Business Phone Number: | 2039325711 |
| Business Fax Number: | |
| Mailing Address: | 10a Harbour Vlg, BRANFORD |
| State: | CT |
| Postal Code: | 064054491 |
| Phone Number: | 2039325711 |
| Fax Number: | |
| NPI Enumeration Date: | 03/27/2013 |
| NPI Last Update Date: | 03/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2255R0406X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Rehabilitation, Blind |
| Taxonomy Definition: | |