Individual
CHRISTINA KILLCREAS DUTTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
1682 MONTGOMERY HWY, BIRMINGHAM, AZ 35216
(205) 421-0000
(205) 421-2016
Mailing address
2147 RIVERCHASE OFFICE RD, BIRMINGHAM, AZ 35244
(205) 403-8902
(205) 982-7882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2391
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7689071
AETNA
AL
01
—
PPT
BLUE CROSS BLUE SHIELD
AL
Enumeration date
04/21/2006
Last updated
07/08/2007
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