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Individual

MR. CHRIS L. AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
615 SIERRA ROSE DRIVE, 2A, RENO, NV 89511
(775) 828-9724
(775) 828-9728
Mailing address
615 SIERRA ROSE DRIVE, 2A, RENO, NV 89511
(775) 828-9724
(775) 828-9728

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4779
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
022695
OR
01
067873000
BLUE CROSS OF OREGON
OR
Enumeration date
07/31/2005
Last updated
08/01/2007
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  • EDI platform