Basic Information
| Provider Information | |||||||||
| NPI: | 1144546573 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MARCHIONDA | ||||||||
| FirstName: | CHRISTY | ||||||||
| MiddleName: | ERIN | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9 BEVERLY DR | ||||||||
| Address2: | |||||||||
| City: | GEORGETOWN | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018331910 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815076041 | ||||||||
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| Practice Location | |||||||||
| Address1: | 205 BURLINGTON RD | ||||||||
| Address2: | |||||||||
| City: | BEDFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01730 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818623600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2010 | ||||||||
| LastUpdateDate: | 08/31/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 222Q00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Developmental Therapist |
No ID Information.