Healthcare Provider Details

I. General information

NPI: 1740474477
Provider Name (Legal Business Name): KATE SANGSTER KNIGHT OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2007
Last Update Date: 05/08/2022
Certification Date: 05/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2974 E MAIN RD
PORTSMOUTH RI
02871-4232
US

IV. Provider business mailing address

59 BEDFORD LN
NORTH KINGSTOWN RI
02852-7008
US

V. Phone/Fax

Practice location:
  • Phone: 401-293-5790
  • Fax:
Mailing address:
  • Phone: 401-533-4731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6603
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: