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Individual

MRS. CHRISTINA MARIE KELLEIGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
3901 WRIGHTSVILLE AVE STE 120, WILMINGTON, NC 28403-6256
(910) 679-8385
(910) 679-8387
Mailing address
PO BOX 412313, BOSTON, MA 02241-2313

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
225100000X
Physical Therapist
Primary
11549
NC
2251P0200X
Pediatric Physical Therapist
11549
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0682U
BCBS NC
NC
01
11230494
CAQH
01
223302
MEDCOST
NC
01
35062
OPTIMA
VA
01
436752
ANTHEM BLUE CROSS
01
4980093
VIRGINIA PREMIER HEALTH
01
6400313
UNITED HEALTHCARE
VA
01
7384345
AETNA
01
870146
UNITED HEALTHCARE/OPTUM HEALTH
NC
01
9116460
MEDICAID DME
VA
Enumeration date
11/08/2005
Last updated
04/21/2026
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