MEDICARE: CHRISTOPHER L LITTEN PTA

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	225200000X	Physical Therapy Assistant	PTA24168	FL

General Provider Information

NPI Number	:	1073403028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER L LITTEN PTA

Provider Business Mailing Address
First Line	:	7696 2ND TER
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8105
Country	:	US
Telephone Number	:	561-260-1679
Fax Number	:	561-260-1679

Provider Business Practice Location Address
First Line	:	7696 2ND TER
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-8105
Country	:	US
Telephone Number	:	561-260-1679
Fax Number	:	561-260-1679

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

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/09/2025

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