Individual
IAN CHRONISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 PROVIDENCE POINT BLVD, PITTSBURGH, PA 15243-1075
(412) 489-3550
Mailing address
610 BROADHEAD AVE APT A, PITTSBURGH, PA 15205-2864
(412) 596-6904
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026683
PA
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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