Provider Demographics
NPI:1760519110
Name:BALDASARI, CHRISTINA MARIANNA (LPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:MARIANNA
Last Name:BALDASARI
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:731 ELEPHANT RD
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-4167
Mailing Address - Country:US
Mailing Address - Phone:215-249-0138
Mailing Address - Fax:
Practice Address - Street 1:731 ELEPHANT RD
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-4167
Practice Address - Country:US
Practice Address - Phone:215-249-0138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006476L2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics