Individual
CHRISTINA DIMICHELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1151 N 3RD ST, APT 217, PHILADELPHIA, PA 19123-1573
(610) 304-2042
Mailing address
1151 N 3RD ST, APT 217, PHILADELPHIA, PA 19123-1573
(610) 304-2042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT023875
PA
2251P0200X
Pediatric Physical Therapist
Primary
PT023875
PA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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