Provider Demographics
NPI:1831575398
Name:ALBERT, CHRISTINA ANN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ANN
Last Name:ALBERT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5025 GAILLARDIA CORPORATE PLACE, STE. B1
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:72142
Mailing Address - Country:US
Mailing Address - Phone:405-753-9064
Mailing Address - Fax:405-753-9639
Practice Address - Street 1:5025 GAILLARDIA CORPORATE PLACE, STE. B1
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:72142
Practice Address - Country:US
Practice Address - Phone:405-753-9064
Practice Address - Fax:405-753-9639
Is Sole Proprietor?:No
Enumeration Date:2015-08-07
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5022225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist