Provider Demographics
NPI:1447562772
Name:GIULIANELLI, CHRISTINA CAROLYN (CHRISTINA GIULIANELL)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:CAROLYN
Last Name:GIULIANELLI
Suffix:
Gender:F
Credentials:CHRISTINA GIULIANELL
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:HENDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2255 DUNN AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32218-4719
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2255 DUNN AVE
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32218-4719
Practice Address - Country:US
Practice Address - Phone:561-629-2473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 25601225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist