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NPI 1407103435

NPI 1407103435 : CHRISTINE SARAH BACKUS PT : ESTERO, FL

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General NPI Number Information
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    NPI Number           |    1407103435
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE SARAH BACKUS PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/09/2012
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    Last Update Date     |    01/21/2026
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Provider Practice Location Address
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    Address Line         |    9250 CORKSCREW RD STE 10 
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    City                 |    ESTERO
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    State                |    FL
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    Zip                  |    33928-3216
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    Country              |    US
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    Telephone            |    239-390-1656
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    39 HOSPITAL CENTER CMNS 
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    City                 |    HILTON HEAD ISLAND
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    State                |    SC
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    Zip                  |    29926-2837
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    Country              |    US
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    Telephone            |    843-689-2233
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    Fax                  |    843-689-2234
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    P17032
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT43956
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    035274
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    License Number State |    NY
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    12679
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    License Number State |    SC
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