Provider Demographics
NPI:1093153173
Name:ROBERTOZZI, CHRISTIAN CHARLES (PT, DPT, OCS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:CHARLES
Last Name:ROBERTOZZI
Suffix:
Gender:M
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 SE VILLAGE LOOP STE 5
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-2229
Mailing Address - Country:US
Mailing Address - Phone:479-268-6040
Mailing Address - Fax:479-431-5098
Practice Address - Street 1:907 SE VILLAGE LOOP STE 5
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-2229
Practice Address - Country:US
Practice Address - Phone:479-402-9400
Practice Address - Fax:479-431-5098
Is Sole Proprietor?:No
Enumeration Date:2013-06-11
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPT42402251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic