Provider Demographics
NPI:1629385059
Name:CARROZZA, CHRISTOPHER C (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:C
Last Name:CARROZZA
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 1:52 SHIRLEY AVE
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3507
Mailing Address - Country:US
Mailing Address - Phone:978-273-4339
Mailing Address - Fax:
Practice Address - Street 1:230 LOWELL ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-3087
Practice Address - Country:US
Practice Address - Phone:978-657-7404
Practice Address - Fax:978-657-5948
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19056225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist