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NPI Code Detail

MEDICARE: CHRISTOPHER NEWTON

MEDICARE: CHRISTOPHER NEWTON
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 Therapist1271755TX

General Provider Information

NPI Number : 1922460898
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER NEWTON
Provider Business Mailing Address
First Line : 5600 WEDGWORTH RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-2875
Country : US
Telephone Number : 334-332-4788
Fax Number :
Provider Business Practice Location Address
First Line : 5600 WEDGWORTH RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-2875
Country : US
Telephone Number : 334-332-4788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 03/22/2016

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Directions to “ CHRISTOPHER NEWTON ” Practice Location

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