Provider Demographics
NPI:1437372471
Name:CORTEZ, CHRISTA LEA (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:LEA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:LEA
Other - Last Name:STANPHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:378 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2314
Mailing Address - Country:US
Mailing Address - Phone:415-831-2401
Mailing Address - Fax:
Practice Address - Street 1:580 CALIFORNIA ST
Practice Address - Street 2:SUITE 500
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-1000
Practice Address - Country:US
Practice Address - Phone:415-439-4837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 25882225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist