Individual
MR. CHRISTOPHER MICHAEL JOHANNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, ATC/L
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 303, SOUTHBURY, CT 06488-2288
(203) 264-1735
(203) 264-9251
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 303, SOUTHBURY, CT 06488-2288
(203) 264-1735
(203) 264-9251
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1590
CT
2255A2300X
Athletic Trainer
000293
CT
Other
Enumeration date
07/10/2007
Last updated
07/15/2015
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