Provider Demographics
NPI:1558521161
Name:ABBOTT, CHRISTINE MAY (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MAY
Last Name:ABBOTT
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 FOX RUN RD
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-8049
Mailing Address - Country:US
Mailing Address - Phone:910-295-4386
Mailing Address - Fax:
Practice Address - Street 1:100 EAST RHODE ISLAND AVE EXTENSION
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387
Practice Address - Country:US
Practice Address - Phone:910-692-0371
Practice Address - Fax:910-692-0346
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2890225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist