Individual
MS. CHRISTINE M FALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
121 BROAD ST, LYNN, MA 01901-1629
(781) 593-9090
(781) 593-9093
Mailing address
121 BROAD ST, LYNN, MA 01901-1629
(781) 593-9090
(781) 593-9093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3675
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038053
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0340031
—
MA
01
—
414513
TUFTS
MA
01
—
Y68555
BCBS
MA
01
—
Y69163
COMMONWEALTH CARE ALLIAN.
MA
Enumeration date
02/13/2007
Last updated
07/08/2007
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