Individual
CHRISTINA M LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12341 WEST AVE, CHAFFEE, NY 14030-9414
(716) 496-7463
Mailing address
12341 WEST AVE, CHAFFEE, NY 14030-9414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002193-1
NY
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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