Individual
KRISTEN ANN PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1520 E GREENVILLE ST STE G, ANDERSON, SC 29621-2056
(864) 261-3099
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(864) 482-0064
(684) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2573
NH
225100000X
Physical Therapist
Primary
5632
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y003934NH03
ANTHEM
—
05
—
30393995
—
NH
Enumeration date
12/08/2006
Last updated
01/08/2019
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