| NPI | 1609154996 |
|---|---|
| Former Name | CHRISTA TIONGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 3110503) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070022257) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2022-05-03 |