Provider Demographics
NPI:1053296160
Name:DZIALO OBERLENDER, CRISTINA PATRICIA (PT, DPT)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:PATRICIA
Last Name:DZIALO OBERLENDER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:PATRICIA
Other - Last Name:DZIALO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1590 S SR 15A STE B
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-7817
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1590 S SR 15A STE B
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-7817
Practice Address - Country:US
Practice Address - Phone:386-734-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT43290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist