Provider Demographics
NPI:1962112003
Name:SAYLOR, CHRISTINA ELAINE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ELAINE
Last Name:SAYLOR
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 1:536 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SHANKSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15560-6207
Mailing Address - Country:US
Mailing Address - Phone:814-233-9805
Mailing Address - Fax:
Practice Address - Street 1:495 W PATRIOT ST
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1538
Practice Address - Country:US
Practice Address - Phone:814-445-4549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE012373225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant