Provider Demographics
NPI:1518740331
Name:BENDIT, CHRISTOPHER JAKOB (DPT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:JAKOB
Last Name:BENDIT
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4041 BREEZEWOOD DR APT 9302
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-5298
Mailing Address - Country:US
Mailing Address - Phone:804-832-0003
Mailing Address - Fax:
Practice Address - Street 1:83 CAVALIER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-4503
Practice Address - Country:US
Practice Address - Phone:910-679-0643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP22489225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist