Individual
CHRISTOPHER JOSEPH FORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3477 S DIXIE HWY, LIMA, OH 45804-3755
(419) 331-2161
(419) 227-7767
Mailing address
3477 S DIXIE HWY, LIMA, OH 45804-3755
(419) 331-2161
(419) 227-7767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08532
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365466
ANTHEM PIN NUMBER
OH
01
—
0812438
CIGNA PT NUMBER
OH
05
—
2619143
—
OH
Enumeration date
03/20/2007
Last updated
12/08/2008
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