Christine Egan MPH PT

NPI 1144497769 - Specialist - 174400000X

NPI Details
NPI 1144497769
Gender Female
Enumeration Date 05/13/2008
Last Updated 05/13/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
64 MAIN ST #2 REAR
PT SAN QUENTIN CA, 94964-0345, US
Phone (415) 455-9721
Fax
Business Location
2074 HUCKLEBERRY RD
SAN RAFAEL CA, 94903-1270, US
Phone (415) 455-9721
Fax (415) 491-9735
Toxanomy
Taxonomy Code 174400000X
License State California
License Number 16514
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According to our database, Christine Egan MPH PT NPI is 1144497769, taxonomy code is 174400000X and license number is 16514, license state is located at California. Christine Egan MPH PT physically located at 64 Main St #2 Rear, Pt San Quentin CA, 94964-0345. NPI Number Christine Egan MPH PT has the Individual type.

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1144497769 NPI number is provided on an as is basis without warranty of any kind. 1144497769 is maintained by the National Plan & Provider Enumeration System. The contents of Christine Egan MPH PT are for informational purposes only.