Provider Demographics
NPI:1245275080
Name:POND, CHRISTOPHER JOHN (MS, ATC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:POND
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Gender:M
Credentials:MS, ATC
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Mailing Address - Street 1:3956 BRIDLEWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-2503
Mailing Address - Country:US
Mailing Address - Phone:209-946-2588
Mailing Address - Fax:209-946-2190
Practice Address - Street 1:ATHLETIC DEPARTMENT
Practice Address - Street 2:3601 PACIFIC AVE.
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95211-0001
Practice Address - Country:US
Practice Address - Phone:209-946-2588
Practice Address - Fax:209-946-2190
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer