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Christine M Licata, PT, DPT

Physical Therapist in Exton, PA. Individual provider (NPI-1).

NPI number1013166149
StatusActive
Last updated in NPPESNov 8, 2023

Details

NPI
1013166149
Entity type
Individual (NPI-1)
Name
Christine M Licata
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Sep 12, 2008
Certification date
Nov 8, 2023
Last updated
Nov 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT017514PAYes
225100000X Physical TherapistDAPT003062PA

Practice location

855 Springdale Dr Ste 110
Exton, PA 19341-2858

Phone 484-874-2130 · Fax 484-874-2129

Mailing address

855 Springdale Dr Ste 110
Exton, PA 19341-2858

Phone 484-874-2130 · Fax 484-874-2129

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