Individual
CHRISTOPHER S PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1203
NV
225100000X
Physical Therapist
Primary
PT22738
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC7486
BCBS
NV
01
—
P00211696
MEDICARE RAILROAD
CA
01
—
PT0227380
MEDI-CAL
CA
Enumeration date
11/03/2005
Last updated
11/16/2007
Update your record
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