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NPI Code Detail

MEDICARE: CORRIE CHRISTINE WINGERTER DPT

MEDICARE: CORRIE CHRISTINE WINGERTER 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 Therapist1395189TX

General Provider Information

NPI Number : 1447081120
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRIE CHRISTINE WINGERTER DPT
Provider Business Mailing Address
First Line : 1000 BONNIE BRAE AVE STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-4355
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BONNIE BRAE AVE STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-4355
Country : US
Telephone Number : 682-235-3816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2024
Last Update Date : 08/13/2024

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Directions to “ CORRIE CHRISTINE WINGERTER DPT” Practice Location

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