Basic Information
| Provider Information | |||||||||
| NPI: | 1053843920 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GIANFRIDDO | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12 TOWN FARM ROAD | ||||||||
| Address2: | PO BOX 174 | ||||||||
| City: | NORTH BROOKFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5087353148 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1369 GRAFTON ST | ||||||||
| Address2: | |||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016042737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083737400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/30/2017 | ||||||||
| LastUpdateDate: | 03/30/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 8576 | MA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.