Individual
CHRISTOPHER STAVISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 341-9011
Mailing address
48 LILAC DR APT 2, ROCHESTER, NY 14620-3257
(814) 598-3992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/26/2019
Last updated
12/11/2019
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