Healthcare Provider Details

I. General information

NPI: 1285642272
Provider Name (Legal Business Name): CHRISTINE MARIE FLEWELLING PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RT 9D CASTLE POINT CAMPUS
CASTLE POINT NY
12511
US

IV. Provider business mailing address

51 INWOOD AVE
POUGHKEEPSIE NY
12601-1264
US

V. Phone/Fax

Practice location:
  • Phone: 845-831-2000
  • Fax: 845-838-5184
Mailing address:
  • Phone: 845-471-7942
  • Fax: 845-838-5184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number0235071
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: