MRS. Kristina Fowler, SPECIAL EDUCATOR
NPI #1013440601 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1013440601
- Entity Type
- Individual
- Name
- MRS. Kristina Fowler, SPECIAL EDUCATOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- SPECIAL EDUCATOR
- Enumeration Date
- Apr 10, 2017
- Last Updated
- Apr 10, 2017
Practice Location
- Address
- 16 SUPERIOR ST
- State
- New York
- ZIP Code
- 11776-4330
- Phone
- (631) 828-5378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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