Provider Demographics
NPI:1235679002
Name:GUTTZEIT, CHRISTEN LEE
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:LEE
Last Name:GUTTZEIT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 JUNIPER PL
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1832
Mailing Address - Country:US
Mailing Address - Phone:908-839-7236
Mailing Address - Fax:
Practice Address - Street 1:39 JUNIPER PL
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1832
Practice Address - Country:US
Practice Address - Phone:908-839-7236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-27
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021223225X00000X
NJ46TR00779500225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist