Provider Demographics
NPI:1053418707
Name:GUNGER, CHRISTINA M (MPT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:M
Last Name:GUNGER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21301 S TAMIAMI TRL
Mailing Address - Street 2:STE 130
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-2942
Mailing Address - Country:US
Mailing Address - Phone:239-947-5616
Mailing Address - Fax:239-947-9606
Practice Address - Street 1:21301 S TAMIAMI TRL
Practice Address - Street 2:STE 130
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-2942
Practice Address - Country:US
Practice Address - Phone:239-947-5616
Practice Address - Fax:239-947-9606
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 14943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3721 AMedicare UPIN
FLK5100Medicare ID - Type UnspecifiedGROUP FACILITY NUMBER