Provider Demographics
NPI:1952644544
Name:ANG, CRISTINA C (PT)
Entity Type:Individual
Prefix:MISS
First Name:CRISTINA
Middle Name:C
Last Name:ANG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7831 GREYLOCK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4963
Mailing Address - Country:US
Mailing Address - Phone:704-517-8871
Mailing Address - Fax:704-814-9569
Practice Address - Street 1:7831 GREYLOCK RIDGE RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4963
Practice Address - Country:US
Practice Address - Phone:704-517-8871
Practice Address - Fax:704-814-9569
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-02
Last Update Date:2013-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2856225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist