Provider Demographics
NPI:1477079622
Name:PARKINSON, CHRISTINE (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:PARKINSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:MOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 44
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05441-0044
Mailing Address - Country:US
Mailing Address - Phone:603-660-6695
Mailing Address - Fax:
Practice Address - Street 1:8 ESSEX WAY STE 204
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3422
Practice Address - Country:US
Practice Address - Phone:802-872-9788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-19
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4250225100000X
VT040.0134112225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist