Marichu De Guia Christophersen, DPT
Physical Therapist in Seaford, NY. Individual provider (NPI-1).
NPI number1760625933
StatusActive
Last updated in NPPESDec 15, 2023
Details
- NPI
- 1760625933
- Entity type
- Individual (NPI-1)
- Name
- Marichu De Guia Christophersen
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2009
- Last updated
- Dec 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 030098 | NY | Yes |
| 2251G0304X | Physical Therapist, Geriatrics | 030098 | NY | |
| 2251P0200X | Physical Therapist, Pediatrics | 030098 | NY | |
| 2251X0800X | Physical Therapist, Orthopedic | 030098 | NY |
Other names
- Marichu De Guia Eaker (Former Name)
Practice location
3562 Woodward AvenueSeaford, NY 11783
Phone 702-299-5424
Mailing address
3562 Woodward AvenueSeaford, NY 11783
Phone 702-299-5424
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