Basic Information
| Provider Information | |||||||||
| NPI: | 1962484436 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHLF | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | M.A., A.T.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18515 CAMINITO PASADERO | ||||||||
| Address2: | #347 | ||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921281070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6193099256 | ||||||||
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| Practice Location | |||||||||
| Address1: | 12000 CARMEL COUNTRY RD | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921306101 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8585099600 | ||||||||
| FaxNumber: | 8585099611 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/18/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | WA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.