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CHRISTOPHER FOLLENIUS PT

>> Specialist >> Other Service Providers

Registrant NPI Number: 1093868895

Individual Registrant:
 CHRISTOPHER  FOLLENIUS PT
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

Contact information for business:
4500 W NEWBERRY RD  GAINESVILLE, FL 32607-2245 US
Tel: 352-336-6000  Fax: 352-332-0799

Registration Information:
NPI: 1093868895
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
FLPT18387

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
PT LICENSEPT18387FL01




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