Doctor Name: | CHRISTINA HARRIS |
NPI Number: | 1669805800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT011122 |
Business Practice Address: | 3760 Stagecoach Pass Ellenwood, GA - 302944383 |
Business Phone Number: | 7708758920 |
Business Fax Number: | |
Mailing Address: | 3760 Stagecoach Pass, ELLENWOOD |
State: | GA |
Postal Code: | 302944383 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/12/2013 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT011122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |