Basic Information
Provider Information
NPI: 1053509000
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POSIO-MOLINA
FirstName: KRISTINE
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1422 PRESTON TRL
Address2:  
City: HARLINGEN
State: TX
PostalCode: 785526212
CountryCode: US
TelephoneNumber: 9564122328
FaxNumber:  
Practice Location
Address1: 7540 N 19TH AVE
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850217967
CountryCode: US
TelephoneNumber: 8888734221
FaxNumber: 8885432289
Other Information
ProviderEnumerationDate: 10/04/2007
LastUpdateDate: 10/04/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1068245TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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