Provider Demographics
NPI:1306174800
Name:POPOVICE, CHRISTOPHER J (PT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:J
Last Name:POPOVICE
Suffix:
Gender:M
Credentials:PT
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Other - Credentials:
Mailing Address - Street 1:3399 TRINDLE RD
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4413
Mailing Address - Country:US
Mailing Address - Phone:717-920-2620
Mailing Address - Fax:717-920-2621
Practice Address - Street 1:3399 TRINDLE RD
Practice Address - Street 2:FLOOR 2
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4413
Practice Address - Country:US
Practice Address - Phone:717-920-2620
Practice Address - Fax:717-920-2621
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2011-09-26
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Provider Licenses
StateLicense IDTaxonomies
PAPT006563L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA171583F9GMedicare Oscar/Certification