Provider Demographics
NPI:1861646135
Name:POLLARD, CHRISTINE D (PHD,PT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:D
Last Name:POLLARD
Suffix:
Gender:F
Credentials:PHD,PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3037 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2536
Mailing Address - Country:US
Mailing Address - Phone:323-442-2454
Mailing Address - Fax:
Practice Address - Street 1:3037 E 1ST ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90803-2536
Practice Address - Country:US
Practice Address - Phone:323-442-2454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12187225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist