Basic Information
Provider Information
NPI: 1629247325
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRANG
FirstName: CHRISTINA
MiddleName: MEGHAN
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5920 S ESTES ST
Address2: STE 100
City: LITTLETON
State: CO
PostalCode: 801238619
CountryCode: US
TelephoneNumber: 3039322500
FaxNumber:  
Practice Location
Address1: 8101 E LOWRY BLVD
Address2: SUITE 220
City: DENVER
State: CO
PostalCode: 802307196
CountryCode: US
TelephoneNumber: 3033410369
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/27/2008
LastUpdateDate: 11/25/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X10754COY Other Service ProvidersSpecialist 

No ID Information.


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