Individual
CHRISTOPHER STAVROS MOUTOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
8170 ROURK ST, MYRTLE BEACH, SC 29572-4127
(843) 449-1963
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
050862
NY
225100000X
Physical Therapist
Primary
12427
SC
225100000X
Physical Therapist
PT41530
FL
225100000X
Physical Therapist
—
MD
Other
Enumeration date
09/15/2023
Last updated
12/17/2024
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