Individual
CHRISTOPHER MATTHEW NINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2300 E COUNTY ROAD 540A, LAKELAND, FL 33813-3825
(863) 607-3333
Mailing address
505 APACHE LN, SEFFNER, FL 33584-4749
(813) 995-1569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37527
FL
2255A2300X
Athletic Trainer
AL4398
FL
Other
Enumeration date
12/13/2017
Last updated
01/03/2025
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