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NPI Code Detail

MEDICARE: CHRISTINA BARR DPT

MEDICARE: CHRISTINA BARR 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 Therapist14008CT

General Provider Information

NPI Number : 1861173825
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA BARR DPT
Provider Business Mailing Address
First Line : 3 8TH AVE
Second Line :
City : WATERFORD
State : CT
Zip : 06385-1805
Country : US
Telephone Number : 336-260-1383
Fax Number :
Provider Business Practice Location Address
First Line : 52 HAZELNUT HILL RD
Second Line :
City : GROTON
State : CT
Zip : 06340-3268
Country : US
Telephone Number : 860-446-8265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2023
Last Update Date : 01/21/2026

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