Provider Demographics
NPI:1083042147
Name:GLIBERT, CHRIS (PT, DPT, CSCS, CPT)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:
Last Name:GLIBERT
Suffix:
Gender:M
Credentials:PT, DPT, CSCS, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23400 PARK SORRENTO
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1743
Mailing Address - Country:US
Mailing Address - Phone:818-857-7077
Mailing Address - Fax:
Practice Address - Street 1:23400 PARK SORRENTO
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1743
Practice Address - Country:US
Practice Address - Phone:818-857-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-28
Last Update Date:2013-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA403642251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports