Individual
CHRISTOPHER RYAN MATHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 INTERCHANGE RD, KRESGEVILLE, PA 18333-7704
(272) 639-5350
Mailing address
425 N 5TH ST, LEHIGHTON, PA 18235-1305
(570) 778-8239
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1004075
PA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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