Doctor Name: | JON CHRISTOPHER WAXHAM |
NPI Number: | 1003993437 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | J1-0003038 |
Business Practice Address: | 20684 John J Williams Hwy Ste 2 Lewes, DE - 199584393 |
Business Phone Number: | 3029450200 |
Business Fax Number: | 3029456959 |
Mailing Address: | 20684 John J Williams Hwy Ste 2, LEWES |
State: | DE |
Postal Code: | 199584393 |
Phone Number: | 3029450200 |
Fax Number: | 3029456959 |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0003038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |