Christine Marie Dearborn, P.T.
Individual provider Active NPI Physical Therapist · Conway, NH
NPI 1154539690 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154539690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2185 (NH)
- Practice address
- 182 W Main St
Conway, NH 03818-6140 - Phone
- (603) 447-6356
- Fax
- (603) 447-1114
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2185 | NH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2185 | NH | Yes |
Addresses
Primary practice location
182 W Main St
Conway, NH 03818-6140
Mailing address
PO Box 802
Center Ossipee, NH 03814-0802
Phone (603) 536-1549
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30390418 | Medicaid | NH |
Other providers in Conway, NH
- Gretchen Davidson
- Lorraine Davis
- Sarah Davis
- Sora Z. Davis
- Day2Day Nutrition, LLC
- Michael Deluca
- Michael Deyak
- Juliet C Dickinson
- Betsy Donovan
- Patrick Dowling
All providers in Conway, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.