Basic Information
| Provider Information | |||||||||
| NPI: | 1902252091 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMODEI | ||||||||
| FirstName: | CHRISTINA | ||||||||
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| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 HAMPSHIRE DR | ||||||||
| Address2: | |||||||||
| City: | WARMINSTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189741280 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2153967995 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2519 MARYLAND RD #250 | ||||||||
| Address2: | |||||||||
| City: | WILLOWGROVE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19090 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154815800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2016 | ||||||||
| LastUpdateDate: | 05/09/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT010111L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.