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NPI Code Detail

MEDICARE: CHRISTINA DAVID

MEDICARE: CHRISTINA DAVID
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
1225100000XPhysical Therapist3400NV
2225100000XPhysical TherapistLPT-30871AZ

General Provider Information

NPI Number : 1407304926
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA DAVID
Provider Business Mailing Address
First Line : 17233 N HOLMES BLVD
Second Line : STE 1650
City : PHOENIX
State : AZ
Zip : 85053-2030
Country : US
Telephone Number : 602-547-1836
Fax Number : 602-547-2806
Provider Business Practice Location Address
First Line : 1525 E WINDMILL LN
Second Line : STE 202
City : LAS VEGAS
State : NV
Zip : 89123-1902
Country : US
Telephone Number : 702-202-1280
Fax Number : 702-361-8596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2016
Last Update Date : 02/18/2020

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Directions to “ CHRISTINA DAVID ” Practice Location

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