Provider Demographics
NPI:1063429926
Name:CHRISTENSON, ROBIN MARIE (MPT)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARIE
Last Name:CHRISTENSON
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18271 MCDURMOTT
Mailing Address - Street 2:STE J
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6720
Mailing Address - Country:US
Mailing Address - Phone:949-752-2227
Mailing Address - Fax:949-752-2231
Practice Address - Street 1:18271 MCDURMOTT
Practice Address - Street 2:STE J
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6720
Practice Address - Country:US
Practice Address - Phone:949-752-2227
Practice Address - Fax:949-752-2231
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT275132251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic