Individual
CHRISTOPHER PANJAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12315 JUDSON RD STE 312, LIVE OAK, TX 78233-3265
(210) 599-3090
(210) 599-4088
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1290560
TX
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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