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NPI Code Detail

MEDICARE: CHRISTA LEE PALCHINSKY D.P.T.

MEDICARE: CHRISTA LEE PALCHINSKY D.P.T.
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 Therapist2377NV
22251X0800XOrthopedic Physical Therapist2377NV

General Provider Information

NPI Number : 1376878702
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTA LEE PALCHINSKY D.P.T.
Provider Business Mailing Address
First Line : 5155 S TORREY PINES DR
Second Line : APT. 2096
City : LAS VEGAS
State : NV
Zip : 89118-0649
Country : US
Telephone Number : 919-413-5052
Fax Number :
Provider Business Practice Location Address
First Line : 3820 S JONES BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-2228
Country : US
Telephone Number : 702-731-0831
Fax Number : 702-737-9697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2009
Last Update Date : 10/02/2009

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