Provider Demographics
NPI:1982384285
Name:FOSTER, CHRISTINA ELAINE YOUNG (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ELAINE YOUNG
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:ELAINE
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1811 WOODLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-7364
Mailing Address - Country:US
Mailing Address - Phone:903-456-7172
Mailing Address - Fax:
Practice Address - Street 1:1811 WOODLAND PARK DR
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-7364
Practice Address - Country:US
Practice Address - Phone:903-456-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1350840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist