Provider Demographics
NPI:1215159983
Name:STAGLIANO-RAPALLO, KRISTIN M (MS, OTL)
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:M
Last Name:STAGLIANO-RAPALLO
Suffix:
Gender:F
Credentials:MS, OTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RURAL AVE
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-5255
Mailing Address - Country:US
Mailing Address - Phone:978-804-1365
Mailing Address - Fax:
Practice Address - Street 1:981 VARNUM AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01854-1913
Practice Address - Country:US
Practice Address - Phone:978-454-5681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6115225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist