Provider Demographics
NPI:1124665997
Name:ROMERO, CHRISTINA GABRIELLA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:GABRIELLA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 E PINE ST APT 1403
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-6624
Mailing Address - Country:US
Mailing Address - Phone:240-535-5110
Mailing Address - Fax:
Practice Address - Street 1:2005 MIZELL AVE STE 2400
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4126
Practice Address - Country:US
Practice Address - Phone:407-646-7703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-29
Last Update Date:2019-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT35271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty