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Contact Information

KRISTEN S WIESE, MA, OTR/L
608 BLEDSOE RD NW
LOS RANCHOS DE ALBUQUERQUE, NM87107-6219
 Phone: 505-908-0717
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Human Factors

225XH1300X 67 Occupational Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTEN S WIESE · (Female)

NPI Number 1841473527
Status Active
Credentials MA, OTR/L
Entity Individual
Enumeration date 12/17/2007
Last updated 04/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # 2414
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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