Most Relevant Information
Provider Data
| NPI Number: | 1003045907 |
| Provider Name: | CHRISTINA LYNN BREEDING PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A02323 |
Most Important Dates
| Enumeration Date: | 07/13/2009 |
| Last Updated: | 07/13/2009 |
Provider Practice Location
475 N HIGHWAY 25 W
SUITE 200
WILLIAMSBURG
KY
407691576
Practice Location Phone/Fax
| Phone: | 6065494495 |
| Fax: | 6065494909 |
Provider Mailing Location
383 CORBIN CENTER DR
CORBIN
KY
407011895
Provider Mailing Phone/Fax
| Phone: | 6065262900 |
| Fax: |