Provider Demographics
NPI:1750691275
Name:MCDOWELL, CHRISTINA M (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:MCDOWELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 835613
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75083-5613
Mailing Address - Country:US
Mailing Address - Phone:214-679-3891
Mailing Address - Fax:469-405-2994
Practice Address - Street 1:16250 KNOLL TRAIL DR STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-2868
Practice Address - Country:US
Practice Address - Phone:214-679-3891
Practice Address - Fax:469-405-2994
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPT1189780OtherBOARD OF PHYSICAL THERAPY