National Provider Identifier

Christine Ann Gump, OTR/L

Christine Ann Gump, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Buffalo, NY and a listed phone number of (716) 631-9515.

NPI 1912254442Buffalo, NYOccupational Therapist

Profile Overview

NPI
1912254442
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
August 15, 2012
Last Updated
July 29, 2019

Practice Location

  • 777 Maryvale Dr
  • Buffalo, NY 14225-2712

Phone: (716) 631-9515

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1912254442
Entity Type
Individual
Last Name
Gump
First Name
Christine
Middle Name
Ann
Name Prefix
MS.
Credential
OTR/L
Mailing Street Address
777 Maryvale Dr
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14225-2712
Mailing Country
US
Practice Street Address
777 Maryvale Dr
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14225-2712
Practice Country
US
Practice Phone
(716) 631-9515
Enumeration Date
August 15, 2012
Last Updated
July 29, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)
Other Identifiers
688564 (NY)