Provider Demographics
NPI:1528003134
Name:FAULDS, CHRISTOPHER (PT CERT MDT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:FAULDS
Suffix:
Gender:M
Credentials:PT CERT MDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-2928
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5910 HARPER RD
Practice Address - Street 2:STE 108
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1885
Practice Address - Country:US
Practice Address - Phone:440-248-1711
Practice Address - Fax:440-248-2007
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist