Provider Demographics
NPI:1538126743
Name:SMITH, CHRISTINE L (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:L
Last Name:SMITH
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 1:8125 ADAMS DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8625
Mailing Address - Country:US
Mailing Address - Phone:717-220-2020
Mailing Address - Fax:717-220-2010
Practice Address - Street 1:8125 ADAMS DR
Practice Address - Street 2:SUITE B
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8625
Practice Address - Country:US
Practice Address - Phone:717-220-2020
Practice Address - Fax:717-220-2010
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005106L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50040627OtherCAPITAL BC
PA446550OtherPA BLUE SHIELD
PA50040627OtherCAPITAL BC