Healthcare Provider Details

I. General information

NPI: 1407124555
Provider Name (Legal Business Name): CHRISTOPHER J. WOJTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2011
Last Update Date: 12/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 BROADVIEW BLVD
NATRONA HEIGHTS PA
15065-2234
US

IV. Provider business mailing address

1870 BROADVIEW BLVD
NATRONA HEIGHTS PA
15065-2234
US

V. Phone/Fax

Practice location:
  • Phone: 724-224-7090
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT021625
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: