Provider Demographics
NPI:1790913556
Name:ROPER, CHRISTINE KINDLIN (MSPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:KINDLIN
Last Name:ROPER
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9033 CARDINAL RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-0664
Mailing Address - Country:US
Mailing Address - Phone:704-377-0020
Mailing Address - Fax:
Practice Address - Street 1:725 PROVIDENCE RD STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2261
Practice Address - Country:US
Practice Address - Phone:704-377-0020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist