Individual
CHRISTOPHER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
35 TOWER LN STE 110, AVON, CT 06001
(860) 404-2549
(860) 404-2621
Mailing address
35 TOWER LN STE 110, AVON, CT 06001-4237
(860) 404-2549
(860) 404-2621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006036
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080006036CT01
BCBS PROVIDER NUMBER
CT
Enumeration date
02/16/2007
Last updated
08/16/2019
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