| Organization Name: | CHRISTOPHER SHOWALTER PT PC |
| NPI Number: | 1053327833 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRIS R SHOWALTER (PRESIDENT) |
| Mailing Address: | 645 Hamilton Ave. Mattituck |
| State: | NY US |
| Postal Code: | 11952 |
| Phone Number: | 6312985367 |
| Fax Number: | 6312983810 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 012464 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |