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General NPI Number Information
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NPI Number | 1447701511
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Entity Type | Organization
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Legal Business Name | CHRISTINE WALKER PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/24/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 8850 MONROE RD
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City | CHARLOTTE
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State | NC
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Zip | 28212
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Country | US
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Telephone | 704-659-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 8850 MONROE RD
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City | CHARLOTTE
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State | NC
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Zip | 28212
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | CHRISTINE WALKER
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Credential | PT, DPT
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Telephone | 704-659-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | P13813
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License Number State | NC
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