Individual
KIANI CHRISTABEL MOHICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2305215018
VA
225100000X
Physical Therapist
Primary
CP014305T
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305215018
STATE LICENSE
VA
Enumeration date
05/20/2022
Last updated
10/03/2022
Update your record
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