Healthcare Provider Details

I. General information

NPI: 1265357388
Provider Name (Legal Business Name): CHRISTINA FELIPE PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4010 MORENA BLVD STE 103
SAN DIEGO CA
92117-4547
US

IV. Provider business mailing address

6742 GLIDDEN ST APT L4
SAN DIEGO CA
92111-7302
US

V. Phone/Fax

Practice location:
  • Phone: 619-356-1315
  • Fax:
Mailing address:
  • Phone: 818-422-6588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number310542
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: