Doctor Name: | MS. CHRISTA L HARRIS |
NPI Number: | 1184790693 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT14525 |
Business Practice Address: | 24955 Pacific Coast Hwy C-102 Malibu, CA - 902654700 |
Business Phone Number: | 3104569332 |
Business Fax Number: | 3104565868 |
Mailing Address: | 24955 Pacific Coast Hwy, C-102 MALIBU |
State: | CA |
Postal Code: | 902654700 |
Phone Number: | 3104569332 |
Fax Number: | 3104565868 |
NPI Enumeration Date: | 11/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT14525 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |