Individual
CHRISTIAN EGGLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
11509 S FORTUNA RD, YUMA, AZ 85367-7857
(928) 342-8767
Mailing address
70 ALDRICH AVE, BINGHAMTON, NY 13903-1452
(607) 727-7708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026326
PA
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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