Individual
CHRISTINE HUXLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15105 HARBOUR VISTA CIR, ST AUGUSTINE, FL 32080-5108
(352) 302-9517
Mailing address
15105 HARBOUR VISTA CIR, ST AUGUSTINE, FL 32080-5108
(352) 302-9517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1253783
TX
2251G0304X
Geriatric Physical Therapist
Primary
294288
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1253783
TEXAS LICENSE
TX
01
—
294288
PHYSICAL THERAPY LICENSE
CA
Enumeration date
08/31/2015
Last updated
06/08/2020
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