Individual
MRS. CHRISTINE MELINDA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1 DELAWARE RD, KENMORE, NY 14217-2743
(716) 876-3902
Mailing address
325 BROOKWOOD DR, HAMBURG, NY 14075-4333
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012827-1
NY
Other
Enumeration date
01/10/2008
Last updated
07/20/2012
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