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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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