Provider Demographics
NPI:1174724330
Name:RICH, CHRISTINE H (PT)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:H
Last Name:RICH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 DANFORTH CT
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1195
Mailing Address - Country:US
Mailing Address - Phone:978-372-4968
Mailing Address - Fax:978-372-4968
Practice Address - Street 1:54 DANFORTH CT
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1195
Practice Address - Country:US
Practice Address - Phone:978-372-4968
Practice Address - Fax:978-372-4968
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4358225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist