Provider Demographics
NPI:1790024107
Name:FILER, CHRISTIAN TODD (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:TODD
Last Name:FILER
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 1:163 TABERNACLE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:MEDFORD LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-2024
Mailing Address - Country:US
Mailing Address - Phone:856-266-4910
Mailing Address - Fax:856-234-3014
Practice Address - Street 1:163 TABERNACLE RD STE 203
Practice Address - Street 2:
Practice Address - City:MEDFORD LAKES
Practice Address - State:NJ
Practice Address - Zip Code:08055-2024
Practice Address - Country:US
Practice Address - Phone:856-266-4910
Practice Address - Fax:856-234-3014
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01479700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist