Basic Information
Provider Information
NPI: 1659569374
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZUNDEL
FirstName: CHRISTINE
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1802 PIONEER DR
Address2:  
City: SEWICKLEY
State: PA
PostalCode: 151438584
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 135 CUMBERLAND RD
Address2: SUITE 105
City: PITTSBURGH
State: PA
PostalCode: 152375447
CountryCode: US
TelephoneNumber: 4123641886
FaxNumber: 4123647120
Other Information
ProviderEnumerationDate: 10/09/2007
LastUpdateDate: 05/20/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000XOC003587LPAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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