Doctor Name: | KRISTEN MARIE BALESTRERI |
NPI Number: | 1669586095 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OT |
License Number: | OC002393L |
Business Practice Address: | 275 Abbe Pl Delmont, PA - 156261319 |
Business Phone Number: | 7244685600 |
Business Fax Number: | 7244685604 |
Mailing Address: | 9130 Lucia Ln, IRWIN |
State: | PA |
Postal Code: | 156424912 |
Phone Number: | 7248634021 |
Fax Number: | 7248634021 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 02/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC002393L |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |