Basic Information
| Provider Information | |||||||||
| NPI: | 1972635217 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POLIN | ||||||||
| FirstName: | CHRISTINA | ||||||||
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| Credential: | M.S., P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1832 SAXON LN | ||||||||
| Address2: | |||||||||
| City: | MAPLE GLEN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190023169 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157840999 | ||||||||
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| Practice Location | |||||||||
| Address1: | DRESHER PHYSICAL THERAPY | ||||||||
| Address2: | 1650 LIMEKILN PIKE | ||||||||
| City: | DRESHER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19025 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156194545 | ||||||||
| FaxNumber: | 2156194555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2007 | ||||||||
| 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 | PT010137-L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.