Provider Demographics
NPI:1427536234
Name:CENTER, CHRISTINE CHARITY (RT (R) (CT))
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:CHARITY
Last Name:CENTER
Suffix:
Gender:F
Credentials:RT (R) (CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 E MONTCLAIR DR
Mailing Address - Street 2:
Mailing Address - City:MILLCREEK
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2072
Mailing Address - Country:US
Mailing Address - Phone:248-935-4453
Mailing Address - Fax:
Practice Address - Street 1:2019 KENWOOD CT
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-1528
Practice Address - Country:US
Practice Address - Phone:248-935-4453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-02
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Single Specialty