Individual
CHRISTOPHER R CLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00007291
WA
225100000X
Physical Therapist
Primary
PTL19687
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5863485
AETNA
WA
Enumeration date
05/16/2007
Last updated
10/14/2025
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