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NPI Code Detail

MEDICARE: CHRISTINA DIANE ALBA MPT CHT

MEDICARE: CHRISTINA DIANE ALBA MPT CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist4258OR
22251H1200XHand Physical Therapist4258OR

General Provider Information

NPI Number : 1558361170
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA DIANE ALBA MPT CHT
Provider Business Mailing Address
First Line : 495 STATE ST FL 6
Second Line :
City : SALEM
State : OR
Zip : 97301-3757
Country : US
Telephone Number : 503-364-5313
Fax Number : 503-364-5296
Provider Business Practice Location Address
First Line : 4132 DEVONSHIRE CT NE
Second Line :
City : SALEM
State : OR
Zip : 97305-1982
Country : US
Telephone Number : 503-364-5313
Fax Number : 503-692-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 01/11/2012

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Directions to “ CHRISTINA DIANE ALBA MPT CHT” Practice Location

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