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Individual

MR. CHRISTOPHER RICHARD ROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
210 VILLAGE CV, PEARL, MS 39208-9498
(601) 622-3560
Mailing address
210 VILLAGE CV, PEARL, MS 39208-9498
(601) 622-3560

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2088128
TX
225200000X
Physical Therapy Assistant
42621
AL
225200000X
Physical Therapy Assistant
Primary
4271
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2088128
TEXAS STATE BOARD
TX
01
42621
ALABAMA STATE BOARD
AL
01
4271
MISSISSIPPI STATE BOARD
MS
Enumeration date
08/02/2012
Last updated
08/02/2012
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