Provider Demographics
NPI:1598370272
Name:RAO, CHRISTINA LARSON (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LARSON
Last Name:RAO
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:325 SORGHUM MILL DR
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-3048
Mailing Address - Country:US
Mailing Address - Phone:203-675-5680
Mailing Address - Fax:203-688-4542
Practice Address - Street 1:1 LONG WHARF DR STE 202
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5591
Practice Address - Country:US
Practice Address - Phone:203-688-7112
Practice Address - Fax:203-688-4542
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0036712251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics