Provider Demographics
NPI:1245106855
Name:ABORDO, KRISTEL
Entity type:Individual
Prefix:
First Name:KRISTEL
Middle Name:
Last Name:ABORDO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KRISTEL
Other - Middle Name:ELISSE
Other - Last Name:ABORDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-0749
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:823 N ELM ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1510
Practice Address - Country:US
Practice Address - Phone:336-900-1555
Practice Address - Fax:336-332-2837
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18052225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist