Provider Demographics
NPI:1023077096
Name:ROMANI-RUBY, CHRISTINE A (MPT ATC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:ROMANI-RUBY
Suffix:
Gender:F
Credentials:MPT ATC
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:A
Other - Last Name:ROMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT ATC
Mailing Address - Street 1:440 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MONONGAHELA
Mailing Address - State:PA
Mailing Address - Zip Code:15063-2565
Mailing Address - Country:US
Mailing Address - Phone:724-258-2650
Mailing Address - Fax:724-258-6775
Practice Address - Street 1:440 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MONONGAHELA
Practice Address - State:PA
Practice Address - Zip Code:15063-2565
Practice Address - Country:US
Practice Address - Phone:724-258-2650
Practice Address - Fax:724-258-6775
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007542L225100000X
PART000825A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer