Healthcare Provider Details

I. General information

NPI: 1922286152
Provider Name (Legal Business Name): CHRISTINE LYNN MALECKA PT, DPT, NCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2008
Last Update Date: 02/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

053 MCKINLY LAB UNIVERSITY OF DELAWARE
NEWARK DE
19716-2591
US

IV. Provider business mailing address

053 MCKINLY LAB UNIVERSITY OF DELAWARE
NEWARK DE
19716-2591
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-8893
  • Fax: 302-831-4468
Mailing address:
  • Phone: 302-831-8893
  • Fax: 302-831-4468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License NumberJ1-0002233
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: