Individual
CHRISTOPHER LAWTON FRENTZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
900 I ST, LAPORTE, IN 46350-5533
(219) 324-1950
Mailing address
328 N MICHIGAN ST, SUITE 200, SOUTH BEND, IN 46601-1244
(574) 647-1069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008135A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05008135A
STATE LICENSE
ID
Enumeration date
04/17/2006
Last updated
07/08/2007
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