Provider Demographics
NPI:1770735375
Name:EXFORD, CHRISTINE DENISE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:DENISE
Last Name:EXFORD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:DENISE
Other - Last Name:EXFORD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:67 MEAD MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:NY
Mailing Address - Zip Code:12498-1033
Mailing Address - Country:US
Mailing Address - Phone:845-684-5162
Mailing Address - Fax:845-684-5162
Practice Address - Street 1:67 MEAD MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:NY
Practice Address - Zip Code:12498-1033
Practice Address - Country:US
Practice Address - Phone:845-684-5162
Practice Address - Fax:845-684-5162
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006710251300000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No251300000XAgenciesLocal Education Agency (LEA)