Provider Demographics
NPI:1053839522
Name:THURM, CHRISTINA A
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:THURM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:HEFFERON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:511 OLD LANCASTER RD STE 12
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:PA
Mailing Address - Zip Code:19312-1671
Mailing Address - Country:US
Mailing Address - Phone:610-225-2451
Mailing Address - Fax:610-964-6166
Practice Address - Street 1:511 OLD LANCASTER RD STE 12
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:PA
Practice Address - Zip Code:19312-1671
Practice Address - Country:US
Practice Address - Phone:610-225-2451
Practice Address - Fax:610-964-6166
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0263782251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology