Provider Demographics
NPI:1144481722
Name:VEIDINS, KATRINA O
Entity type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:O
Last Name:VEIDINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 BAILEY RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-4244
Mailing Address - Country:US
Mailing Address - Phone:978-697-0160
Mailing Address - Fax:
Practice Address - Street 1:22 HIGH ST
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7713
Practice Address - Country:US
Practice Address - Phone:617-254-1140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-17
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist