CHRIS THEAVER

STATEN ISLAND, NY
NPI1861001927
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  044543)
Enumeration Date2020-07-24
Last Update Date2023-12-11
Business Address
CHRIS THEAVER
2627 HYLAN BLVD STE A2
STATEN ISLAND, NY 10306-4344
Phone number: 646-820-5669
Mailing Address
CHRIS THEAVER
1785 FOREST AVE
STATEN ISLAND, NY 10303-2107
Phone number: