Provider Demographics
NPI:1154639136
Name:CHRISTIAN, ZOE FRANCES (PT)
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:FRANCES
Last Name:CHRISTIAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1420
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88004-1420
Mailing Address - Country:US
Mailing Address - Phone:575-532-6054
Mailing Address - Fax:575-532-0215
Practice Address - Street 1:3530 FOOTHILLS RD STE N
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-3621
Practice Address - Country:US
Practice Address - Phone:575-532-6054
Practice Address - Fax:575-532-0215
Is Sole Proprietor?:No
Enumeration Date:2010-09-23
Last Update Date:2010-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2557174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist