Provider Demographics
NPI:1922286152
Name:MALECKA, CHRISTINE LYNN (PT, DPT, NCS)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:LYNN
Last Name:MALECKA
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:053 MCKINLY LAB
Mailing Address - Street 2:UNIVERSITY OF DELAWARE
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19716-2591
Mailing Address - Country:US
Mailing Address - Phone:302-831-8893
Mailing Address - Fax:302-831-4468
Practice Address - Street 1:053 MCKINLY LAB
Practice Address - Street 2:UNIVERSITY OF DELAWARE
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19716-2591
Practice Address - Country:US
Practice Address - Phone:302-831-8893
Practice Address - Fax:302-831-4468
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00022332251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEJ1-0002233OtherPHYSICAL THERAPY LICENSE
PAPT015606OtherPHYSICAL THERAPY LICENSE