Provider Demographics
NPI:1306068036
Name:GLANZ, CHRISTOPHER HARRIS (PT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:HARRIS
Last Name:GLANZ
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 1:6058 JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2924
Mailing Address - Country:US
Mailing Address - Phone:513-910-4406
Mailing Address - Fax:
Practice Address - Street 1:1697 DEERFIELD RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-9215
Practice Address - Country:US
Practice Address - Phone:513-934-3850
Practice Address - Fax:513-934-3450
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH009965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist