Provider Demographics
NPI:1942479993
Name:VALENTINE, CHRISTINE K (PT)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:K
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 RANCH ROAD 3237
Mailing Address - Street 2:DEER CREEK OF WIMBERLEY
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676
Mailing Address - Country:US
Mailing Address - Phone:512-847-5540
Mailing Address - Fax:512-847-0419
Practice Address - Street 1:555 RANCH ROAD 3237
Practice Address - Street 2:DEER CREEK OF WIMBERLEY
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676
Practice Address - Country:US
Practice Address - Phone:512-847-5540
Practice Address - Fax:512-847-0419
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1175275225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist