Individual
CHRISTOPHER C DEGUILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
309 W PARK AVE, LONG BEACH, NY 11561-3241
(516) 568-7858
(516) 766-0680
Mailing address
11 NEIL CT, OCEANSIDE, NY 11572-5815
(516) 766-0505
(516) 766-0680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047860-01
NY
Other
Enumeration date
11/03/2021
Last updated
11/08/2021
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