Provider Demographics
NPI:1134146657
Name:DUE, CHRISTOPHER ALLAN (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ALLAN
Last Name:DUE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 CHERRY LANE
Mailing Address - Street 2:NEW VALLEY REHAB
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-9540
Mailing Address - Country:US
Mailing Address - Phone:484-851-3386
Mailing Address - Fax:484-851-3469
Practice Address - Street 1:3213 NAZARETH RD
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-2000
Practice Address - Country:US
Practice Address - Phone:610-438-8093
Practice Address - Fax:610-438-8095
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017535225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
3312272OtherNIKOL TEWS HMO#
3336072OtherANDREW PERICH HMO#
4378613OtherDENNIS DOUGHERTY PPO#
7454667OtherCHRIS DUE PPO#
3311522OtherHMO REHAB PARTNERS
3312931OtherHMO NEW VALLEY CAPITATION
7191743OtherBETH VOTRAL PPO#
7293473OtherPPO NEW VALLEY
3995218OtherRETT HOLMES HMO#
7524519OtherANDREW PERICH PPO #
1059204OtherBETH VOTRAL HMO#
3345114OtherDENNIS DOUGHERTY HMO#
7228707OtherRETT HOLMES PPO#
1065392OtherCHRIS DUE HMO#
4572840OtherNIKOL TEWS PPO#
7449501OtherPPO REHAB PARTNERS
PADVI765414OtherHIGHMARK
4378121OtherSUSAN REAGAN PPO#
PA50056203OtherCAPITAL