Provider Demographics
NPI:1497950257
Name:PUSKAR, CHRISTOPHER JON (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JON
Last Name:PUSKAR
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:591 MONTMORENCY DR E
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-8433
Mailing Address - Country:US
Mailing Address - Phone:614-920-3997
Mailing Address - Fax:414-918-2512
Practice Address - Street 1:4940 BLAZER PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3305
Practice Address - Country:US
Practice Address - Phone:614-923-3709
Practice Address - Fax:414-908-7410
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist