Provider Demographics
NPI:1205286226
Name:PANSEGRAU, CHRISTINA (MT-BC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:PANSEGRAU
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 NE ELLIS WAY APT B4
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5585
Mailing Address - Country:US
Mailing Address - Phone:406-350-0233
Mailing Address - Fax:
Practice Address - Street 1:2280 NE ELLIS WAY APT B4
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5585
Practice Address - Country:US
Practice Address - Phone:406-350-0233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist