Organization
FOCHT THERAPY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE ANN FOCHT (PRESIDENT PHYSICAL THERAPIST)
(704) 517-8279
Entity
Organization
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
2251P0200X
Pediatric Physical Therapist
Primary
5060
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7276611
—
NC
01
—
76611
BLUE CROSS BLUE SHIELD
NC
Enumeration date
03/07/2007
Last updated
08/22/2020
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