| Doctor Name: | MR. PETER AUSTIN CHRISCO |
| NPI Number: | 1588632806 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 070011972 |
| Business Practice Address: | 4700 Nelson Brogdon Blvd Suite 240 Buford, GA - 305185400 |
| Business Phone Number: | 7702713188 |
| Business Fax Number: | 7702713288 |
| Mailing Address: | 3733 Ridge Grove Way, SUWANEE |
| State: | GA |
| Postal Code: | 300244523 |
| Phone Number: | 8124317083 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2006 |
| NPI Last Update Date: | 10/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070011972 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |