Provider Demographics
NPI:1144514969
Name:JEE, CHRISTINA FAITH (MPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FAITH
Last Name:JEE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HOODS POINT WAY
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-4011
Mailing Address - Country:US
Mailing Address - Phone:415-601-9713
Mailing Address - Fax:
Practice Address - Street 1:10 HOODS POINT WAY
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-4011
Practice Address - Country:US
Practice Address - Phone:415-601-9713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist