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Individual
TODD S CHILSON
Active
Individual
TODD S CHILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL0015500
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
683227000
—
MN
01
—
7B725PA
BLUE CROSS
MN
Enumeration date
11/17/2006
Last updated
06/08/2018
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