Individual
MISS CHRISTELLE GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
107 WARTBURG AVE APT 72, COPIAGUE, NY 11726-2940
(347) 702-2276
Mailing address
107 WARTBURG AVE APT 72, COPIAGUE, NY 11726-2940
(347) 702-2276
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
026909
NY
225XP0200X
Pediatric Occupational Therapist
Primary
026909
NY
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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