Doctor Name: | CHRISTINE YURCIK-DOMINICK |
NPI Number: | 1417225723 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23880 |
Business Practice Address: | 111 Bata Blvd Belcamp, MD - 210171427 |
Business Phone Number: | 4102736000 |
Business Fax Number: | |
Mailing Address: | 331 S College Ave, NEWARK |
State: | DE |
Postal Code: | 197115157 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 12/01/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 23880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |