Healthcare Provider Details

I. General information

NPI: 1831420595
Provider Name (Legal Business Name): CHRISTINA G ABBOUD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 04/19/2023
Certification Date: 04/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6950 SOUTH EDGERTON
BRECKSVILLE OH
44141
US

IV. Provider business mailing address

2132 CASE PARKWAY N SUITE A
TWINSBURG OH
44087
US

V. Phone/Fax

Practice location:
  • Phone: 440-746-1730
  • Fax: 440-746-1732
Mailing address:
  • Phone: 330-963-2920
  • Fax: 330-963-2921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number012730
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: