Provider Demographics
NPI:1386641041
Name:THOMAS, CHRISTINE PITTMAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:PITTMAN
Last Name:THOMAS
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 1:10 SPRINGS AVE
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1724
Mailing Address - Country:US
Mailing Address - Phone:717-334-6834
Mailing Address - Fax:717-334-3923
Practice Address - Street 1:10 SPRINGS AVE
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1724
Practice Address - Country:US
Practice Address - Phone:717-334-6834
Practice Address - Fax:717-334-3923
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2504315Medicare ID - Type UnspecifiedPHYSICAL THERAPIST PROVID