Individual
DR. CHRISTIAN GRYSZOWKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD, MS, OTR/L, CHT
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-6652
Mailing address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-6976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
245206
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100567050
—
KY
Enumeration date
09/24/2018
Last updated
02/10/2026
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