Provider Demographics
NPI:1730800954
Name:POLI, CHRISTINA L (PTA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:L
Last Name:POLI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 OLD LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:LIGONIER
Mailing Address - State:PA
Mailing Address - Zip Code:15658-2715
Mailing Address - Country:US
Mailing Address - Phone:724-689-6368
Mailing Address - Fax:
Practice Address - Street 1:656 OLD LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:LIGONIER
Practice Address - State:PA
Practice Address - Zip Code:15658-2715
Practice Address - Country:US
Practice Address - Phone:724-689-6368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-06
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant