Doctor Name: | CHRISTINE MARIE EDDOW |
NPI Number: | 1003890229 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT, OCS, CHT |
License Number: | PT17235 |
Business Practice Address: | 4605 Brockton Ave Suite 200 Riverside, CA - 925060106 |
Business Phone Number: | 9516798066 |
Business Fax Number: | 9516798088 |
Mailing Address: | 29645 Rancho California Rd, Ste 234 TEMECULA |
State: | CA |
Postal Code: | 925916200 |
Phone Number: | 9515063001 |
Fax Number: | 9515063002 |
NPI Enumeration Date: | 12/01/2005 |
NPI Last Update Date: | 10/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251H1200X |
License Number: | PT17235 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |