MEDICARE: MRS. CHRISTINE A. SENA PT

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	10268-24	WI
2	225100000X	Physical Therapist	PT013730	GA

General Provider Information

NPI Number	:	1023032240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE A. SENA PT

Provider Business Mailing Address
First Line	:	2836 HIGHWAY 54
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-1026
Country	:	US
Telephone Number	:	770-876-2229
Fax Number	:	58-768-0632

Provider Business Practice Location Address
First Line	:	2836 HIGHWAY 54
Second Line	:
City	:	PEACHTREE CITY
State	:	GA
Zip	:	30269-1026
Country	:	US
Telephone Number	:	770-876-2229
Fax Number	:	58-768-0632

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	06/06/2019

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