Christine M. Hendry Physical Therapy Lac PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

11398 Issued in CA

Legal business name

CHRISTINE M. HENDRY PHYSICAL THERAPY LAC PC

Practice address

1807 Robinson Ave
104
San Diego, CA 92103-7633

Phone

(619) 255-4477

Fax

(619) 255-4499

NPI assigned

Apr 24, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Marie Hendry, PT LAC

Title

Owner

Phone

(619) 255-4477

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1659715407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE",
            "address_2": "104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037633",
            "telephone_number": "619-255-4477",
            "fax_number": "619-255-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 ROBINSON AVE",
            "address_2": "104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921037633",
            "telephone_number": "619-255-4477",
            "fax_number": "619-255-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINE M. HENDRY PHYSICAL THERAPY LAC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "HENDRY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-255-4477",
        "authorized_official_credential": "PT LAC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.