Provider Demographics
NPI:1750807798
Name:PILKINGTON, KRISTINE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KRISTINE
Middle Name:
Last Name:PILKINGTON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 NIRVANA RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-4946
Mailing Address - Country:US
Mailing Address - Phone:805-698-2479
Mailing Address - Fax:
Practice Address - Street 1:1114 NIRVANA RD
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-4946
Practice Address - Country:US
Practice Address - Phone:805-698-2479
Practice Address - Fax:805-698-2479
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-22
Last Update Date:2017-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT6386225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics