Provider Demographics
NPI:1487845889
Name:MADISON, CHRISTINA H (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:H
Last Name:MADISON
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 1:209 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-3684
Mailing Address - Country:US
Mailing Address - Phone:650-906-3102
Mailing Address - Fax:
Practice Address - Street 1:209 SHEFFIELD LN
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-3684
Practice Address - Country:US
Practice Address - Phone:650-906-3102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9205225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist