National Provider Identifier

Christine Melinda Shields, MS, OTR/L

Christine Melinda Shields, MS, OTR/L is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 876-3902.

NPI 1023294857Kenmore, NYSpecialist

Profile Overview

NPI
1023294857
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
January 10, 2008
Last Updated
July 20, 2012

Practice Location

  • 1 Delaware RD
  • Kenmore, NY 14217-2743

Phone: (716) 876-3902

Mailing Address

  • 325 Brookwood Dr
  • Hamburg, NY 14075-4333

Specialties

  • Specialist (174400000X)
Full Record
NPI
1023294857
Entity Type
Individual
Last Name
Shields
First Name
Christine
Middle Name
Melinda
Name Prefix
Mrs.
Credential
MS, OTR/L
Mailing Street Address
325 Brookwood Dr
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-4333
Mailing Country
US
Practice Street Address
1 Delaware RD
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-2743
Practice Country
US
Practice Phone
(716) 876-3902
Enumeration Date
January 10, 2008
Last Updated
July 20, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)