Individual
CHRISTOPHER MICHAEL MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
18626 HARDY OAK BLVD, STE 200, SAN ANTONIO, TX 78258-4219
(972) 771-8111
(972) 771-8103
Mailing address
1301 SUMMER LEE DRIVE, ROCKWALL, TX 75032-5452
(972) 771-8111
(972) 771-8103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-04010
KS
225100000X
Physical Therapist
Primary
1272375
TX
225100000X
Physical Therapist
2009022385
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201092460A
—
KS
01
—
P01353099
MEDICARE RR PTAN
—
Enumeration date
08/05/2009
Last updated
09/14/2018
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