Provider Demographics
NPI:1730338971
Name:MOONEY, CHRISTINE L (DPT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:L
Last Name:MOONEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HSIANG-CHIN
Other - Middle Name:C
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:165 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:HASBROUCK HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07604-2709
Mailing Address - Country:US
Mailing Address - Phone:201-390-8815
Mailing Address - Fax:201-727-9828
Practice Address - Street 1:165 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:HASBROUCK HEIGHTS
Practice Address - State:NJ
Practice Address - Zip Code:07604-2709
Practice Address - Country:US
Practice Address - Phone:201-390-8815
Practice Address - Fax:201-727-9828
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPT 40QA00747100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist