Provider Demographics
NPI:1043292790
Name:WARNE, CHRISTINA (PT ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:WARNE
Suffix:
Gender:F
Credentials:PT ATC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:JAMISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT ATC
Mailing Address - Street 1:5A HUTCHINSON DR
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-3777
Mailing Address - Country:US
Mailing Address - Phone:978-750-8188
Mailing Address - Fax:
Practice Address - Street 1:9530 COSNER DR STE 101
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-7760
Practice Address - Country:US
Practice Address - Phone:540-361-1830
Practice Address - Fax:540-361-1829
Is Sole Proprietor?:No
Enumeration Date:2005-11-17
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202887225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
43305030001OtherDMERC
VA019587O12Medicare PIN
43305030001OtherDMERC