Provider Demographics
NPI:1386914182
Name:BRAY, CHRISTINE LOWE (LMT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:LOWE
Last Name:BRAY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12552 INDIAN ROCKS RD
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33774-3007
Mailing Address - Country:US
Mailing Address - Phone:727-595-9111
Mailing Address - Fax:
Practice Address - Street 1:12552 INDIAN ROCKS RD
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33774-3007
Practice Address - Country:US
Practice Address - Phone:727-595-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM8196172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist