Doctor Name: | CHRISTIANE M MUMMELTHEY |
NPI Number: | 1982645743 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT98 |
Business Practice Address: | 1 Storehouse Ln Suite C Destrehan, LA - 700473826 |
Business Phone Number: | 9857645022 |
Business Fax Number: | 9857645032 |
Mailing Address: | Po Box 23417, NEW ORLEANS |
State: | LA |
Postal Code: | 701830417 |
Phone Number: | 5048181365 |
Fax Number: | 5048181363 |
NPI Enumeration Date: | 06/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | PT98 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |