Provider Demographics
NPI:1184851818
Name:CHRISTOPHER, AMBER ELIZABETH (MPT)
Entity Type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:ELIZABETH
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 DEVONSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-6016
Mailing Address - Country:US
Mailing Address - Phone:214-683-7396
Mailing Address - Fax:
Practice Address - Street 1:723 DEVONSHIRE DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-6016
Practice Address - Country:US
Practice Address - Phone:214-683-7396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1128924225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist