Provider Demographics
NPI:1164284170
Name:WILKINSON, KATHERINE J
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:J
Last Name:WILKINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 ORR RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1112
Mailing Address - Country:US
Mailing Address - Phone:609-915-6990
Mailing Address - Fax:
Practice Address - Street 1:29 EMMONS DR
Practice Address - Street 2:STE F10
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-5919
Practice Address - Country:US
Practice Address - Phone:609-454-3035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01166200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty