CHRISTOPHER SHOWALTER PT PC
Medical Practice at 13 St, New York, NY

License number
New York 012464
Category
Medical Practice
Type
Specialist
Owner
Name: CHRIS R SHOWALTER PT
Title: PRESIDENT
Phone: (631) 298-5367
Address
Address 2
17 E 13Th St, New York, NY 10003
PO Box 1244, Nassau Point, NY 11935
National Provider ID: 1053598128
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHRISTOPHER SHOWALTER, P.T., PC

Nassau Point, NY  -  Mattituck, NY

Registration:
Jul 29, 1997
Addresses:
PO Box 1244, Cutchogue, NY 11935 (Physical)
645 Hamilton Ave, Mattituck, NY 11952 (Physical)
State ID:
2166381
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Christopher Showalter, 645 Hamilton Ave, Mattituck, NY 11952 (Physical)

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