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CHRISTOPHER FOLLENIUS PT
>> Specialist >> Other Service ProvidersRegistrant NPI Number: 1093868895
Individual Registrant: CHRISTOPHER FOLLENIUS PT
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
14417 NW 152ND LN ALACHUA, FL 32615-8667 US
Tel: 386-462-6400 Fax: 386-462-6404
Tel: 386-462-6400 Fax: 386-462-6404
Contact information for business:
4500 W NEWBERRY RD GAINESVILLE, FL 32607-2245 US
Tel: 352-336-6000 Fax: 352-332-0799
Tel: 352-336-6000 Fax: 352-332-0799
Registration Information:
NPI: 1093868895
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 174400000X | Other Service Providers Specialist | FL | PT18387 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| PT LICENSE | PT18387 | FL | 01 |
