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Individual

DR. CHRISTIAN ANTHONY HENNINGSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
9700 DE SOTO AVENUE, ATTN: DR. CHRISTIAN HENNINGSEN, PT, DPT, CHATSWORTH, CA 91311
(818) 882-8100
(818) 700-8255
Mailing address
9700 DE SOTO AVENUE, ATTN: DR. CHRISTIAN HENNINGSEN, PT, DPT, CHATSWORTH, CA 91311
(818) 882-8100
(818) 700-8255

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT295563
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225100000X
CA
Enumeration date
09/19/2018
Last updated
09/19/2018
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