Provider Demographics
NPI:1790233476
Name:DELLA POLLA, CHRISTINE VICTORIA (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:VICTORIA
Last Name:DELLA POLLA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1665 BUSTLETON PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-7340
Mailing Address - Country:US
Mailing Address - Phone:215-355-5051
Mailing Address - Fax:
Practice Address - Street 1:451 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3810
Practice Address - Country:US
Practice Address - Phone:610-541-7872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-12
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT025482225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist