Provider Demographics
NPI:1770467995
Name:RIESTERER, CHRISTIN J (OTD, MS, OTR/L)
Entity type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:J
Last Name:RIESTERER
Suffix:
Gender:F
Credentials:OTD, MS, OTR/L
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:J
Other - Last Name:JOHNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:17502-0040
Mailing Address - Country:US
Mailing Address - Phone:223-246-1211
Mailing Address - Fax:
Practice Address - Street 1:1813 OLDE HOMESTEAD LN # 105
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-5837
Practice Address - Country:US
Practice Address - Phone:223-246-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018106225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist