Provider Demographics
NPI:1699136432
Name:MCCLEARY, CHRISTINE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:MCCLEARY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:217 S OKLAHOMA AVE STE C
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7970
Mailing Address - Country:US
Mailing Address - Phone:956-854-4820
Mailing Address - Fax:956-854-4822
Practice Address - Street 1:217 S OKLAHOMA AVE STE C
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-7970
Practice Address - Country:US
Practice Address - Phone:956-854-4820
Practice Address - Fax:956-854-4822
Is Sole Proprietor?:No
Enumeration Date:2016-03-07
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1262228225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist