Catherine Penn Childress in St Augustine - Orthopedic
Catherine Penn Childress - NPI 1144350778
Catherine Penn Childress is a Orthopedic in St Augustine, Florida. Catherine Penn Childress practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Catherine Penn Childress is 1144350778. The last update date is 2007-08-06.
Catherine Penn Childress's current location address is 33201 Harbour Vista Cir, St Augustine, Florida. You can contact this provider via phone number 9048102101 and fax number 9048102106. The mailing address for Catherine Penn Childress is 33201 Harbour Vista Cir, St Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Catherine Penn Childress |
|---|---|
| Address | 33201 Harbour Vista Cir, St Augustine, Florida |
| Phone Number | 9048102101 |
| Fax Number | 9048102106 |
| Sole Proprietor | N |
| Credentials | DPT |
NPI Number Detail
| NPI Number | 1144350778 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 33201 Harbour Vista Cir |
|---|---|
| City | St Augustine |
| State | Florida (FL) |
| Post Code | 320805144 |
| Phone Number | 9048102101 |
| Fax Number | 9048102106 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | PT22844 |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT22844 | FL | LICENSE |
Post Comment/ Review Below
What is the Catherine Penn Childress's unique identification number?
The Catherine Penn Childress has been assigned the NPI (National Provider Identifier) Number 1144350778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Catherine Penn Childress is physically located?
The Catherine Penn Childress is physically situated at the following address: 33201 Harbour Vista Cir, St Augustine, FL, 320805144.
What is Catherine Penn Childress's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Catherine Penn Childress is Orthopedic, and the taxonomy classification code that categorizes this area of expertise is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144350778 to Catherine Penn Childress?
The Centers for Medicare & Medicaid Services originally issued the 1144350778 to Catherine Penn Childress on 2007-03-06.
As of what date were the details pertaining to Catherine Penn Childress last refreshed?
The information related to the Catherine Penn Childress, including its address, specialty, and other relevant details, was last updated on 2007-08-06.
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