Provider Demographics
NPI:1629967757
Name:CHRISTOPH, ANA DEBORAH (MTL)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:DEBORAH
Last Name:CHRISTOPH
Suffix:
Gender:F
Credentials:MTL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 EDEN XING
Mailing Address - Street 2:
Mailing Address - City:ADKINS
Mailing Address - State:TX
Mailing Address - Zip Code:78101-2769
Mailing Address - Country:US
Mailing Address - Phone:951-434-9277
Mailing Address - Fax:
Practice Address - Street 1:ZEEL
Practice Address - Street 2:45 W 45 TH ST
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:877-435-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA76950225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist