Provider Demographics
NPI:1710178850
Name:WYMAN, CHRISTIAN PAUL (DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:PAUL
Last Name:WYMAN
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 1:1400 BLACKHORSE HILL ROAD
Mailing Address - Street 2:COATESVILLE VA MEDICAL CENTER
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2096
Mailing Address - Country:US
Mailing Address - Phone:610-384-7711
Mailing Address - Fax:610-380-4327
Practice Address - Street 1:1400 BLACKHORSE HILL RD
Practice Address - Street 2:COATESVILLE VA MEDICAL CENTER
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-2040
Practice Address - Country:US
Practice Address - Phone:610-384-7711
Practice Address - Fax:610-380-4327
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT000905E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist