Individual
CHRISTOPHER JOHN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT,OCS
Contact information
Practice address
31720 TEMECULA PKWY, SUITE 101, TEMECULA, CA 92592-5895
(951) 303-3566
(951) 303-3577
Mailing address
24630 WASHINGTON AVE, STE 200, MURRIETA, CA 92562-6177
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT25342
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206948
STATE OF WASHINGTON
WA
01
—
P00287451
RR MEDICARE
CA
Enumeration date
03/09/2006
Last updated
10/07/2009
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