Provider Demographics
NPI:1083366017
Name:POWER, CHRISTINE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:POWER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 PLAINFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-3057
Mailing Address - Country:US
Mailing Address - Phone:516-424-8782
Mailing Address - Fax:
Practice Address - Street 1:302 PLAINFIELD AVE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-3057
Practice Address - Country:US
Practice Address - Phone:516-424-8782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026436225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist