Provider Demographics
NPI:1689800302
Name:CHRISTOPHER, SHEFALI M (PT, DPT, SCS, LAT, A)
Entity Type:Individual
Prefix:
First Name:SHEFALI
Middle Name:M
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:PT, DPT, SCS, LAT, A
Other - Prefix:
Other - First Name:SHEFALI
Other - Middle Name:
Other - Last Name:MATHUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, LAT, ATC
Mailing Address - Street 1:6224 FAYETTEVILLE RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713
Mailing Address - Country:US
Mailing Address - Phone:919-484-0033
Mailing Address - Fax:
Practice Address - Street 1:6224 FAYETTEVILLE RD.
Practice Address - Street 2:SUITE 101
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713
Practice Address - Country:US
Practice Address - Phone:919-484-0033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist