MEDICARE: MS. CHRISTINA BOONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	A2640	MD
2	225200000X	Physical Therapy Assistant	A2640	MD
3	174N00000X	Lactation Consultant (Non-RN)		MD

General Provider Information

NPI Number	:	1114142924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHRISTINA BOONE

Provider Business Mailing Address
First Line	:	1026 CROMWELL BRIDGE ROAD
Second Line	:	CARE RESOURCES
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21286
Country	:	US
Telephone Number	:	410-583-1515
Fax Number	:	410-583-2491

Provider Business Practice Location Address
First Line	:	1026 CROMWELL BRIDGE ROAD
Second Line	:	CARE RESOURCES INC.
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21286
Country	:	US
Telephone Number	:	410-583-1515
Fax Number	:	410-583-2491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	12/18/2025

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