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NPI Code Detail

MEDICARE: CHRISTOPHER WILLINGER OTD OTR

MEDICARE: CHRISTOPHER WILLINGER OTD OTR
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
1251E00000XHome Health Agency112450TX

General Provider Information

NPI Number : 1992192215
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER WILLINGER OTD OTR
Provider Business Mailing Address
First Line : 811 PALO DURO DR.
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 811 PALO DURO DR
Second Line :
City : CEDAR PARK
State : TX
Zip : 78613-6950
Country : US
Telephone Number : 956-605-9715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2015
Last Update Date : 04/24/2015

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