Individual
CHRIS KUCHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
100 VALLEY CENTER RD, WILMINGTON, DE 19808-2950
(302) 994-1200
(302) 994-1233
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001686
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000038253
—
DE
01
—
1610157
PABS
—
01
—
2287776000
AMERIHEALTH IBC
—
01
—
5070-0037
CAREFIRST
—
01
—
62085201
NCA
—
Enumeration date
06/13/2006
Last updated
02/26/2013
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