Individual
CHRISTINE S DESTEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CHESTNUT ST, FREDONIA, NY 14063-1649
(716) 885-8318
Mailing address
50 E NORTH ST, BUFFALO, NY 14203-1002
(716) 885-8318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024902
NY
Other
Enumeration date
09/01/2020
Last updated
07/17/2023
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