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Individual
CHRISTOPHER PHILLIPS
Active
Individual
CHRISTOPHER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008299
CT
225100000X
Physical Therapist
PT015609L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080008299CT01
BCBS
CT
01
—
3V1094
PHS HEALTHNET
CT
01
—
761899
CONNECTICARE
CT
01
—
7876348
AETNA
CT
Enumeration date
07/20/2006
Last updated
01/18/2019
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