Individual
MS. CHRISTINA ROSE ACQUAVIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
171 INTREPID LN, SYRACUSE, NY 13205-2548
(315) 437-4689
Mailing address
245 WILDWOOD RDG, FRANKFORT, NY 13340-9109
(315) 525-9923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
034163
NY
225100000X
Physical Therapist
19488
MA
225100000X
Physical Therapist
PTL-11087
CO
Other
Enumeration date
05/26/2011
Last updated
09/23/2011
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