Provider Demographics
NPI:1750389722
Name:LEVAN, CHRISTOPHER ARMSTRONG (PT,MS, OCS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:ARMSTRONG
Last Name:LEVAN
Suffix:
Gender:M
Credentials:PT,MS, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 EGG HARBOR RD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-3149
Mailing Address - Country:US
Mailing Address - Phone:856-256-8393
Mailing Address - Fax:856-256-8390
Practice Address - Street 1:279 EGG HARBOR RD
Practice Address - Street 2:SUITE C-1
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-3149
Practice Address - Country:US
Practice Address - Phone:856-256-8393
Practice Address - Fax:856-256-8390
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA008780002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ793582OtherAMERIHEALTH
NJ51405OtherORTHONET
PA073598Medicare ID - Type Unspecified