Provider Demographics
NPI:1689353583
Name:CALHOUN CHAPIN, CHRISTI KAE (PT)
Entity Type:Individual
Prefix:MISS
First Name:CHRISTI
Middle Name:KAE
Last Name:CALHOUN CHAPIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CHRISTI
Other - Middle Name:K
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2333 SNEAD DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-3714
Mailing Address - Country:US
Mailing Address - Phone:760-828-1578
Mailing Address - Fax:
Practice Address - Street 1:2333 SNEAD DR
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-3714
Practice Address - Country:US
Practice Address - Phone:760-828-1578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-17
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist