Provider Demographics
NPI:1861623233
Name:VERHOREVOORT, CHRISTINA
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:VERHOREVOORT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:BEACHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 CHAPEL ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1060
Mailing Address - Country:US
Mailing Address - Phone:617-618-9290
Mailing Address - Fax:866-795-0414
Practice Address - Street 1:55 CHAPEL ST STE 1
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1060
Practice Address - Country:US
Practice Address - Phone:617-618-9290
Practice Address - Fax:866-795-0414
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18754225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist