Provider Demographics
NPI:1356411383
Name:HAYES, CHRISTINE FRANCES (PT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:FRANCES
Last Name:HAYES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 NEWPORT DR
Mailing Address - Street 2:
Mailing Address - City:CHESTERBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5850
Mailing Address - Country:US
Mailing Address - Phone:610-722-9898
Mailing Address - Fax:610-695-9746
Practice Address - Street 1:195 W LANCASTER AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301-1748
Practice Address - Country:US
Practice Address - Phone:610-695-9913
Practice Address - Fax:610-695-9746
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006372L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA034268NTAOtherMEDICARE INDIVIDUAL NUM
PA034268NTAOtherMEDICARE INDIVIDUAL NUM