Individual
CHRISTINE MARIE SIEGRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
219 CLAREMONT AVE, TAMAQUA, PA 18252-4431
(570) 668-1889
(570) 668-6115
Mailing address
415 DAISY CT, EXETER, PA 18643-1161
(570) 883-7106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017084
PA
2251G0304X
Geriatric Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11312146
CAQH
—
01
—
1676334
HIGHMARK BLUE SHIELD
—
01
—
2001143
KEYSTONE
—
01
—
2350844000
INDEPENDENCE BLUE CROSS
—
01
—
257271
HEALTH ASSURANCE
—
01
—
3561767
AETNA HMO
—
01
—
50044276
CAPITAL BLUE CROSS
—
01
—
7610567
AETNA PPO
—
01
—
818896
FIRST PRIORITY HEALTH
—
01
—
P00198354
RAILROAD MEDICARE
—
Enumeration date
09/29/2005
Last updated
07/19/2007
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