Individual
CHRISSA BOBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
725 HARRISON ST, ATTENTION: MEDICAID OFFICE, SYRACUSE, NY 13210-2395
(315) 435-4276
Mailing address
1025 ERIE BOULEVARD WEST, ATTENTION: EARLY CHILDHOOD EDUCATION (PREK), SYRACUSE, NY 13204-9908
(607) 725-7751
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
022618
NY
225X00000X
Occupational Therapist
Primary
022618
NY
Other
Enumeration date
07/03/2018
Last updated
01/30/2025
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