Provider Demographics
NPI:1376509794
Name:MISHALKO, CHRISTINE M (MSS,ATC,PES)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:M
Last Name:MISHALKO
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Gender:F
Credentials:MSS,ATC,PES
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Mailing Address - Street 1:245 N 15TH ST
Mailing Address - Street 2:HAHNEMANN HOSPITAL- DEPT. OF ORTHOPAEDICS
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1101
Mailing Address - Country:US
Mailing Address - Phone:215-830-9255
Mailing Address - Fax:215-830-3306
Practice Address - Street 1:2500 MARYLAND RD
Practice Address - Street 2:UNIVERSITY ORTHOPAEDIC INSTITUTE- SUITE 131
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-1216
Practice Address - Country:US
Practice Address - Phone:215-830-9255
Practice Address - Fax:215-830-3306
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2009-03-26
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Provider Licenses
StateLicense IDTaxonomies
PART002509A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer