Basic Information
| Provider Information | |||||||||
| NPI: | 1417007741 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HOROWICZ | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | D.P.T., A.T.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 NEW FIDELITY CT | ||||||||
| Address2: | |||||||||
| City: | GARNER | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275292665 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9192582714 | ||||||||
| FaxNumber: | 4106484878 | ||||||||
| Practice Location | |||||||||
| Address1: | 207 S PRINCESS ST # 34 | ||||||||
| Address2: | |||||||||
| City: | SHEPHERDSTOWN | ||||||||
| State: | WV | ||||||||
| PostalCode: | 254431581 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3048768600 | ||||||||
| FaxNumber: | 3048768601 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/11/2007 | ||||||||
| LastUpdateDate: | 12/09/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/09/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT 002689 | WV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 897663-01 | 01 | BCBS OF MARYLAND | OTHER | T208 | 01 | BLUECHOICE/GHMSI | OTHER | 2160584 | 01 | UHC | OTHER | 7914198 | 01 | AETNA | OTHER | 2160854 | 01 | ACN | OTHER |