Provider Demographics
NPI:1710434618
Name:EWING, CHRISTINE BAUDOUIN (DPT, OCS)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BAUDOUIN
Last Name:EWING
Suffix:
Gender:F
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2999 SAINT ANNES LN NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-1635
Mailing Address - Country:US
Mailing Address - Phone:504-913-1287
Mailing Address - Fax:
Practice Address - Street 1:3867 ROSWELL RD NE STE 305
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-4451
Practice Address - Country:US
Practice Address - Phone:678-631-7925
Practice Address - Fax:470-401-2535
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist