Provider Demographics
NPI:1801928163
Name:ZOHLEN, CHRISTINE (PT, DPT, ARNP, MSN)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ZOHLEN
Suffix:
Gender:F
Credentials:PT, DPT, ARNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PSC 819
Mailing Address - Street 2:BOX 18-335
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09645-9998
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PSC 819
Practice Address - Street 2:US NAVAL HOSPITAL ROTA
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09645-0018
Practice Address - Country:US
Practice Address - Phone:757-953-1464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205516225100000X
FL3321372363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics