Provider Demographics
NPI:1437364494
Name:HARDER, CHRISTINA LEIGH (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEIGH
Last Name:HARDER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5623 DICKSON RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-4607
Mailing Address - Country:US
Mailing Address - Phone:973-903-5724
Mailing Address - Fax:
Practice Address - Street 1:14286 BEACH BLVD
Practice Address - Street 2:SUITE 34
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32250-1561
Practice Address - Country:US
Practice Address - Phone:904-345-7516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-13
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist