National Provider Identifier
Christine S Destevens
Christine S Destevens is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fredonia, NY and a listed phone number of (716) 885-8318.
Profile Overview
- NPI
- 1497369110
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- September 01, 2020
- Last Updated
- July 17, 2023
Practice Location
- 75 Chestnut St
- Fredonia, NY 14063-1649
Phone: (716) 885-8318
Mailing Address
- 50 E North St
- Buffalo, NY 14203-1002
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1497369110
- Entity Type
- Individual
- Last Name
- Destevens
- First Name
- Christine
- Middle Name
- S
- Provider Other Last Name
- Reinwald
- Provider Other First Name
- Christine
- Provider Other Middle Name
- S
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 50 E North St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1002
- Mailing Country
- US
- Mailing Phone
- (716) 885-8318
- Practice Street Address
- 75 Chestnut St
- Practice City
- Fredonia
- Practice State
- NY
- Practice ZIP Code
- 14063-1649
- Practice Country
- US
- Practice Phone
- (716) 885-8318
- Enumeration Date
- September 01, 2020
- Last Updated
- July 17, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 17, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)