Doctor Name: | KATHLEEN TERESA NIGHTLINGER |
NPI Number: | 1376750141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, OTRL |
License Number: | OC008985 |
Business Practice Address: | 602 Vonderburg Dr Suite 201 Brandon, FL - 335115900 |
Business Phone Number: | 8136531149 |
Business Fax Number: | 8136546644 |
Mailing Address: | 602 Vonderburg Dr, Suite 201 BRANDON |
State: | FL |
Postal Code: | 335115900 |
Phone Number: | 8136531149 |
Fax Number: | 8136546644 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 10/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC008985 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |