Individual
MS. CHRISTINE CAROLYN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., M.ED.
Contact information
Practice address
23521 PASEO DE VALENCIA 210, LAGUNA HILLS, CA 92653-3140
(949) 597-0007
Mailing address
PO BOX 7221, NEWPORT BEACH, CA 92658-7221
(949) 597-0007
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16191
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518182930
NPI
CA
Enumeration date
04/13/2007
Last updated
12/31/2016
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