Provider Demographics
NPI:1598952004
Name:EPPINGHAUS, CHRISTINA ELISABETH (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ELISABETH
Last Name:EPPINGHAUS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:CHRISTINA
Other - Middle Name:ELISABETH
Other - Last Name:JOHNSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:200 E JOPPA RD STE LL102
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3105
Mailing Address - Country:US
Mailing Address - Phone:410-832-2706
Mailing Address - Fax:410-832-2706
Practice Address - Street 1:5 RUFFED GROUSE CT
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1669
Practice Address - Country:US
Practice Address - Phone:410-832-2706
Practice Address - Fax:410-832-2706
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist