MEDICARE: CHRISTINE TRAN BELL 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
1	225100000X	Physical Therapist	6533	MS
2	225100000X	Physical Therapist	PT6533	MS

General Provider Information

NPI Number	:	1598245565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE TRAN BELL DPT

Provider Business Mailing Address
First Line	:	1021 MOLLY BARR RD APT 97
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2493
Country	:	US
Telephone Number	:	601-329-3282
Fax Number	:

Provider Business Practice Location Address
First Line	:	204 ENTERPRISE DR UNIT 15
Second Line	:
City	:	OXFORD
State	:	MS
Zip	:	38655-2761
Country	:	US
Telephone Number	:	662-234-0010
Fax Number	:	662-234-0017

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2018
Last Update Date	:	01/04/2022

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