Provider Demographics
NPI:1811902208
Name:WOMANOLOGY
Entity type:Organization
Organization Name:WOMANOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHRISTENSON
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:949-752-2227
Mailing Address - Street 1:18271 MCDURMOTT
Mailing Address - Street 2:SUITE J
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-3720
Mailing Address - Country:US
Mailing Address - Phone:949-752-2227
Mailing Address - Fax:949-752-2231
Practice Address - Street 1:18271 MCDURMOTT
Practice Address - Street 2:SUITE J
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-3720
Practice Address - Country:US
Practice Address - Phone:949-752-2227
Practice Address - Fax:949-752-2231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty