Provider Demographics
NPI:1801170972
Name:BURTON TOMPKINS, CHRISTINA (MA)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:BURTON TOMPKINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3918 E MAYFIELD ST
Mailing Address - Street 2:APARTMENT A
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-4106
Mailing Address - Country:US
Mailing Address - Phone:909-262-6573
Mailing Address - Fax:
Practice Address - Street 1:3918 E MAYFIELD ST
Practice Address - Street 2:APARTMENT A
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-4106
Practice Address - Country:US
Practice Address - Phone:909-262-6573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner