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NPI Code Detail

MEDICARE: MRS. CHRISTINE K VOIGT ATC

MEDICARE:  MRS. CHRISTINE K VOIGT  ATC
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
12255A2300XAthletic Trainer0126000883VA

General Provider Information

NPI Number : 1336401272
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINE K VOIGT ATC
Provider Business Mailing Address
First Line : 3296 DAM NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-2614
Country : US
Telephone Number : 757-716-3535
Fax Number :
Provider Business Practice Location Address
First Line : 3296 DAM NECK RD
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23453-2614
Country : US
Telephone Number : 757-716-3535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 06/15/2012

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Directions to “ MRS. CHRISTINE K VOIGT ATC” Practice Location

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