Provider Demographics
NPI:1861042442
Name:TORQUATO, CHRISTINA (COTA/L)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:TORQUATO
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 BEE TREE RD
Mailing Address - Street 2:
Mailing Address - City:SWANNANOA
Mailing Address - State:NC
Mailing Address - Zip Code:28778-3508
Mailing Address - Country:US
Mailing Address - Phone:804-514-9555
Mailing Address - Fax:
Practice Address - Street 1:213 RICHMOND HILL DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3916
Practice Address - Country:US
Practice Address - Phone:828-254-9675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-16
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12836224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant