Individual
CHRISTOPHER R CLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
660 BEACON ST, BOSTON, MA 02215-2002
(617) 536-1160
(844) 283-4933
Mailing address
4 RICHMOND SQ, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
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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