Healthcare Provider Details

I. General information

NPI: 1003078502
Provider Name (Legal Business Name): CHRISTINE L TALBERT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 WILLOW VALLEY LAKES DR
WILLOW STREET PA
17584-9051
US

IV. Provider business mailing address

15 DEERFIELD DR
PEQUEA PA
17565-9624
US

V. Phone/Fax

Practice location:
  • Phone: 717-464-6397
  • Fax: 717-464-6017
Mailing address:
  • Phone: 717-464-6397
  • Fax: 717-464-6017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License NumberPT008293L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: