Provider Demographics
NPI:1548448137
Name:FERGUSON, CHRISTA CAMPBELL (OTR/L, CHT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:CAMPBELL
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1840 GROVECREST RD
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38139-3579
Mailing Address - Country:US
Mailing Address - Phone:901-756-0809
Mailing Address - Fax:
Practice Address - Street 1:1840 GROVECREST RD
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38139-3579
Practice Address - Country:US
Practice Address - Phone:901-756-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3831225XH1200X
MS0347225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand