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NPI Code Detail

MEDICARE: MRS. CHRISTINA NICOLE SKON PTA

MEDICARE: MRS. CHRISTINA NICOLE SKON PTA
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
1225200000XPhysical Therapy AssistantPTA010570OH

General Provider Information

NPI Number : 1437691235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTINA NICOLE SKON PTA
Provider Business Mailing Address
First Line : 14 MARTINSBURG RD APT C
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-4159
Country : US
Telephone Number : 740-817-0895
Fax Number :
Provider Business Practice Location Address
First Line : 416 WOOSTER RD
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-1216
Country : US
Telephone Number : 740-397-9626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2016
Last Update Date : 11/09/2016

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