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NPI Code Detail

MEDICARE: DR. CHRISTINE LYNNE KING DPT

MEDICARE: DR. CHRISTINE LYNNE KING DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist38418CA

General Provider Information

NPI Number : 1174890297
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE LYNNE KING DPT
Provider Business Mailing Address
First Line : 201 SANDPOINTE AVE
Second Line : SUITE 130
City : SANTA ANA
State : CA
Zip : 92707-5778
Country : US
Telephone Number : 714-557-9292
Fax Number :
Provider Business Practice Location Address
First Line : 201 SANDPOINTE AVE
Second Line : SUITE 130
City : SANTA ANA
State : CA
Zip : 92707-5778
Country : US
Telephone Number : 714-557-9292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2011
Last Update Date : 11/17/2011

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