Provider Demographics
NPI:1194912139
Name:DRUM, CHRISTIE CLAIRE (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:CLAIRE
Last Name:DRUM
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 1:305 N PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85220-5505
Mailing Address - Country:US
Mailing Address - Phone:480-982-7794
Mailing Address - Fax:480-982-0747
Practice Address - Street 1:305 N PLAZA DR
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85220-5505
Practice Address - Country:US
Practice Address - Phone:480-982-7794
Practice Address - Fax:480-982-0747
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7404225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist