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NPI Code Detail

MEDICARE: CHRISTINE ABDEL PT, DPT, LAT, ATC

MEDICARE: CHRISTINE ABDEL PT, DPT, LAT, ATC
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
12255A2300XAthletic TrainerAT.0002843CO
2225100000XPhysical TherapistPTL.0020949CO

General Provider Information

NPI Number : 1790456689
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ABDEL PT, DPT, LAT, ATC
Provider Business Mailing Address
First Line : 16322 SPANISH PEAK WAY
Second Line :
City : BROOMFIELD
State : CO
Zip : 80023-8378
Country : US
Telephone Number : 720-454-0563
Fax Number :
Provider Business Practice Location Address
First Line : 112 N RUBEY DR UNIT 135
Second Line :
City : GOLDEN
State : CO
Zip : 80403-3214
Country : US
Telephone Number : 303-279-7703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 11/15/2025

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