Provider Demographics
NPI:1982591731
Name:ROYCE, CHRISTOPHER EARL (PTA)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:EARL
Last Name:ROYCE
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 LAZOR ST APT 237
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3420
Mailing Address - Country:US
Mailing Address - Phone:724-762-2704
Mailing Address - Fax:
Practice Address - Street 1:2135 LAZOR ST APT 237
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-3420
Practice Address - Country:US
Practice Address - Phone:724-762-2704
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI006366225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant