Provider Demographics
NPI:1932242666
Name:OLIVER, CHRISTINE MARIE COYLE (PT, CMPT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE COYLE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:PT, CMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5414 NE 198TH PL
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-3011
Mailing Address - Country:US
Mailing Address - Phone:206-368-4664
Mailing Address - Fax:
Practice Address - Street 1:1600 E JEFFERSON ST
Practice Address - Street 2:SUITE A-5
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-5698
Practice Address - Country:US
Practice Address - Phone:206-320-8078
Practice Address - Fax:206-320-4747
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002260225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist