Provider Demographics
NPI:1528007374
Name:CAPUTO, CHRISTINE VERONICA (BS PT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:VERONICA
Last Name:CAPUTO
Suffix:
Gender:F
Credentials:BS PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:38 HILLTOP DR
Mailing Address - Street 2:
Mailing Address - City:SHAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18708-9659
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1111 E END BLVD
Practice Address - Street 2:
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18711-0030
Practice Address - Country:US
Practice Address - Phone:570-824-3521
Practice Address - Fax:570-819-5143
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPT006627L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist