Provider Demographics
NPI:1104622257
Name:LINK, CHRISTINA R
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:R
Last Name:LINK
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10720 STATE ROAD 54 STE 102
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-2264
Mailing Address - Country:US
Mailing Address - Phone:813-563-4321
Mailing Address - Fax:813-563-4337
Practice Address - Street 1:10720 STATE ROAD 54 STE 102
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-2264
Practice Address - Country:US
Practice Address - Phone:813-563-4321
Practice Address - Fax:813-563-4337
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28250225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist