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Individual
EVELYN ANNA MCKAY
Active
Individual
EVELYN ANNA MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002115
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002115CT02
BLUE CARE HEALTH PLAN INS
CT
01
—
11243520
CAQH ID
CT
Enumeration date
03/16/2007
Last updated
07/08/2007
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