Individual
CHRISTOPHER THOMAS STACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
489 WASHINGTON ST STE 200, AUBURN, MA 01501-5709
(774) 696-8309
(508) 297-8416
Mailing address
435 HARTFORD TPKE STE U, VERNON, CT 06066-4834
(860) 979-1611
(860) 263-0986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23576
MA
225100000X
Physical Therapist
636162
MA
225100000X
Physical Therapist
—
—
Other
Enumeration date
10/04/2017
Last updated
08/10/2022
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