Healthcare Provider Details

I. General information

NPI: 1861324949
Provider Name (Legal Business Name): CHRISTINA ROSE O'HALLORAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E 6TH AVE
NORTH WILDWOOD NJ
08260-5822
US

IV. Provider business mailing address

100 E 6TH AVE
NORTH WILDWOOD NJ
08260-5822
US

V. Phone/Fax

Practice location:
  • Phone: 609-551-4354
  • Fax: 609-551-4409
Mailing address:
  • Phone: 609-551-4354
  • Fax: 609-551-4409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberPT034179
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: