MEDICARE: CHRISTINA LYNN WEBB 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	007787	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007787	OTHER	AZ	STATE LICENSE
2	7787	OTHER	AZ	STATE LICENSE

General Provider Information

NPI Number	:	1073707956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA LYNN WEBB PT

Provider Business Mailing Address
First Line	:	25101 N LAKE PLEASANT PKWY STE B-1340
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1386
Country	:	US
Telephone Number	:	623-471-5550
Fax Number	:	623-471-5551

Provider Business Practice Location Address
First Line	:	25101 N LAKE PLEASANT PKWY STE B-1340
Second Line	:
City	:	PEORIA
State	:	AZ
Zip	:	85383-1386
Country	:	US
Telephone Number	:	623-471-5550
Fax Number	:	623-471-5551

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

Provider Enumeration Date	:	09/04/2007
Last Update Date	:	08/18/2024

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