Provider Demographics
NPI:1891514741
Name:BINHACK, CHRISTINA K
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:K
Last Name:BINHACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 S 100 W
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:IN
Mailing Address - Zip Code:47670-9345
Mailing Address - Country:US
Mailing Address - Phone:812-485-5200
Mailing Address - Fax:812-485-5220
Practice Address - Street 1:2929 S 100 W
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:IN
Practice Address - Zip Code:47670-9345
Practice Address - Country:US
Practice Address - Phone:812-485-5200
Practice Address - Fax:812-485-5220
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN06001428A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant