Provider Demographics
NPI:1336913870
Name:PANAYOTOF, CHRISTINE (BSPT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:PANAYOTOF
Suffix:
Gender:F
Credentials:BSPT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:LIOSI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-405-6356
Mailing Address - Fax:
Practice Address - Street 1:22881 SUSSEX HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-5851
Practice Address - Country:US
Practice Address - Phone:302-600-1720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist