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Individual
AMY PLATT
Active
Individual
AMY PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, RN
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006804
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006804CT01
ANTHEM BLUE SHIELD
CT
01
—
080006804CT02
ANTHEM BC BS
CT
Enumeration date
06/14/2007
Last updated
06/29/2015
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