Provider Demographics
NPI:1376878702
Name:PALCHINSKY, CHRISTA LEE (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:LEE
Last Name:PALCHINSKY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5155 S TORREY PINES DR
Mailing Address - Street 2:APT. 2096
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89118-0649
Mailing Address - Country:US
Mailing Address - Phone:919-413-5052
Mailing Address - Fax:
Practice Address - Street 1:3820 S JONES BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-2228
Practice Address - Country:US
Practice Address - Phone:702-731-0831
Practice Address - Fax:702-737-9697
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV2377225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic