Provider Demographics
NPI:1881767267
Name:TRINIDAD, CHRISTINE SIQUIG (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:SIQUIG
Last Name:TRINIDAD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:466 ROADING DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4230
Mailing Address - Country:US
Mailing Address - Phone:408-439-4254
Mailing Address - Fax:408-239-4583
Practice Address - Street 1:466 ROADING DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-4230
Practice Address - Country:US
Practice Address - Phone:408-439-4254
Practice Address - Fax:408-239-4583
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2010-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist