Individual
MRS. CHRISTINE ANN FOCHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1410 LONAN DR, WAXHAW, NC 28173-6913
(704) 517-8279
(704) 243-0749
Mailing address
1410 LONAN DR, WAXHAW, NC 28173-6913
(704) 517-8279
(704) 243-0749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7276611
—
NC
01
—
76611
BCBS
NC
Enumeration date
10/31/2006
Last updated
07/08/2007
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