Basic Information
| Provider Information | |||||||||
| NPI: | 1851543318 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HUNT | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | NICOLE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 357 HARMONY CIR | ||||||||
| Address2: | |||||||||
| City: | ELM MOTT | ||||||||
| State: | TX | ||||||||
| PostalCode: | 766403645 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548221963 | ||||||||
| FaxNumber: | 2548220740 | ||||||||
| Practice Location | |||||||||
| Address1: | 3002 W 2ND AVE | ||||||||
| Address2: | |||||||||
| City: | CORSICANA | ||||||||
| State: | TX | ||||||||
| PostalCode: | 751102408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9038725130 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2008 | ||||||||
| LastUpdateDate: | 10/15/2008 | ||||||||
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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 | 225200000X | 2038867 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.