Basic Information
| Provider Information | |||||||||
| NPI: | 1235214222 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIPSKY | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | LAMBERT | ||||||||
| OtherFirstName: | CHRISTINA | ||||||||
| OtherMiddleName: | MARIE | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | PT | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 103 LAKEVIEW DRIVE | ||||||||
| Address2: | |||||||||
| City: | HARLEYSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102712118 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1500 HORIZON DRIVE | ||||||||
| Address2: | SUITE 102E | ||||||||
| City: | CHALFONT | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18914 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157120300 | ||||||||
| FaxNumber: | 2157129040 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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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 | 225100000X | PT018211 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.