Doctor Name: | MRS. CRISTIN MARIE TILKI |
NPI Number: | 1144647108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L |
License Number: | 4136 |
Business Practice Address: | 51 N Main St Suite 3g Southington, CT - 064892537 |
Business Phone Number: | 8606280823 |
Business Fax Number: | 8606280224 |
Mailing Address: | 51 N Main St, Suite 3g SOUTHINGTON |
State: | CT |
Postal Code: | 064892537 |
Phone Number: | 8606280823 |
Fax Number: | 8606280224 |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 4136 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |