MEDICARE: MR. CHRISTOPHER KEITH STRUNK PT,OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1871769794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER KEITH STRUNK PT,OCS

Provider Business Mailing Address
First Line	:	4729 HOEN AVE
Second Line	:	SUITE A
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7862
Country	:	US
Telephone Number	:	707-578-9230
Fax Number	:	707-578-1021

Provider Business Practice Location Address
First Line	:	4729 HOEN AVE
Second Line	:	SUITE A
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7862
Country	:	US
Telephone Number	:	707-578-9230
Fax Number	:	707-578-1021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	07/09/2024

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Directions to “ MR. CHRISTOPHER KEITH STRUNK PT,OCS” Practice Location

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