Healthcare Provider Details

I. General information

NPI: 1467535245
Provider Name (Legal Business Name): CHRISTOPHER A FLAUGH P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 10/30/2024
Certification Date: 10/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVENUE AMERICA BUILDING 19, ROOM 1078
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

USAHC-SFT CMR 457 BOX 272
APO AE
09033
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4870
  • Fax:
Mailing address:
  • Phone: 491605804640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number1165568
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1165568
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: