Individual
CHRISTOPHER H WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15050 KUTZTOWN RD, KUTZTOWN, PA 19530-9275
(610) 683-5686
(610) 683-8773
Mailing address
15050 KUTZTOWN RD, KUTZTOWN, PA 19530-9275
(610) 683-5686
(610) 683-8773
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007644L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000020742
HIGHMARK BLUE SHIELD
PA
01
—
0716259000
PERSONAL CHOICE
PA
01
—
1417034802
INTERGROUP
PA
01
—
422764
HEALTH AMER/HEALTH ASSUR.
PA
01
—
50083550
CAPITAL BLUE CROSS
PA
01
—
WI20742
HIGHMARK
PA
Enumeration date
11/01/2006
Last updated
04/30/2012
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