Provider Demographics
NPI:1982883864
Name:LUNA, CHRISTIAN Q (PT)
Entity Type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:Q
Last Name:LUNA
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:337 W MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:LEOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17540-2109
Mailing Address - Country:US
Mailing Address - Phone:717-661-1142
Mailing Address - Fax:717-980-2750
Practice Address - Street 1:337 W MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:LEOLA
Practice Address - State:PA
Practice Address - Zip Code:17540-2109
Practice Address - Country:US
Practice Address - Phone:551-358-3598
Practice Address - Fax:717-980-2750
Is Sole Proprietor?:No
Enumeration Date:2007-10-29
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01102000225100000X
PAPT0305032251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist