Provider Demographics
NPI:1699978726
Name:NEWGENT, CHRISTA ANNE (MS, PT)
Entity type:Individual
Prefix:MRS
First Name:CHRISTA
Middle Name:ANNE
Last Name:NEWGENT
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10616 NW 38TH ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6002
Mailing Address - Country:US
Mailing Address - Phone:405-350-0919
Mailing Address - Fax:
Practice Address - Street 1:5300 N INDEPENDENCE AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-5556
Practice Address - Country:US
Practice Address - Phone:405-945-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK36922251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic