Christopher Michael Raeihle, MS OTRL
Occupational Therapist, Pediatrics in Manorville, NY. Individual provider (NPI-1).
NPI number1417164591
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1417164591
- Entity type
- Individual (NPI-1)
- Name
- Mr. Christopher Michael Raeihle
- Credential
- MS OTRL
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 17, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 010154 | NY | Yes |
Practice location
58 Manorview WayManorville, NY 11949-2975
Phone 631-325-2079
Mailing address
58 Manorview WayManorville, NY 11949-2975
Phone 631-325-2079
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