Provider Demographics
NPI: | 1801801386 |
---|---|
Name: | LADNER, CHRISTINA (LPT) |
Entity type: | Individual |
Prefix: | MS |
First Name: | CHRISTINA |
Middle Name: | |
Last Name: | LADNER |
Suffix: | |
Gender: | F |
Credentials: | LPT |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 1087 |
Mailing Address - Street 2: | |
Mailing Address - City: | SHERMAN |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75091-1087 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 900-395-7486 |
Mailing Address - Fax: | 903-957-3416 |
Practice Address - Street 1: | 315 W MCLAIN DR |
Practice Address - Street 2: | |
Practice Address - City: | SHERMAN |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75092-2605 |
Practice Address - Country: | US |
Practice Address - Phone: | 903-957-4861 |
Practice Address - Fax: | 903-957-3416 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-07-31 |
Last Update Date: | 2025-09-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | 303870 | 225X00000X |
TX | 1144392 | 225100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 8T0079 | Other | BCBS |