Individual
MS. CHRISTINA TRAUTHWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10341 SE US HIGHWAY 441, BELLEVIEW, FL 34420-2807
(352) 307-0066
(352) 307-9556
Mailing address
8455 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5066
(352) 567-5910
(352) 567-6860
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106898
MEDICARE ID
FL
Enumeration date
01/22/2009
Last updated
01/22/2009
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