Provider Demographics
NPI:1538124029
Name:WORTH, CHRISTINE M (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:WORTH
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 1:729 FRANK ST
Mailing Address - Street 2:
Mailing Address - City:OTTUMWA
Mailing Address - State:IA
Mailing Address - Zip Code:52501-1831
Mailing Address - Country:US
Mailing Address - Phone:641-683-4156
Mailing Address - Fax:
Practice Address - Street 1:1977 ALBIA RD
Practice Address - Street 2:RIDGEWOOD NURSING AND REHAB CENTER
Practice Address - City:OTTUMWA
Practice Address - State:IA
Practice Address - Zip Code:52501-3768
Practice Address - Country:US
Practice Address - Phone:641-683-3111
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA014982251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics