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CHRISTINA KILLCREAS DUTTON MSPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1659337327

Individual Registrant:
 CHRISTINA KILLCREAS DUTTON MSPT
Gender: F

Location and contact information for practice:
1682 MONTGOMERY HWY  BIRMINGHAM, AZ 35216 US
Tel: 205-421-0000  Fax: 205-421-2016

Contact information for business:
2147 RIVERCHASE OFFICE RD  BIRMINGHAM, AZ 35244 US
Tel: 205-403-8902  Fax: 205-982-7882

Registration Information:
NPI: 1659337327
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
ALPTH2391

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AETNA7689071AL01
BLUE CROSS BLUE SHIELDPPTAL01




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