Provider Demographics
NPI:1689770596
Name:ELERIA, CHRISTINE T (ATC)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:T
Last Name:ELERIA
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5015
Mailing Address - Country:US
Mailing Address - Phone:510-445-4876
Mailing Address - Fax:510-445-4884
Practice Address - Street 1:45500 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-6368
Practice Address - Country:US
Practice Address - Phone:510-445-4876
Practice Address - Fax:510-445-4884
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor