Individual
JON CHRISTOPHER WAXHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1004 N WALNUT ST, MILFORD, DE 19963-1244
(302) 503-0440
Mailing address
1050 INDUSTRIAL DR STE 210, MIDDLETOWN, DE 19709-2803
(302) 503-0440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003038
DE
Other
Enumeration date
11/01/2006
Last updated
04/21/2021
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