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CHRISTINA KILLCREAS DUTTON MSPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1659337327
Individual Registrant: CHRISTINA KILLCREAS DUTTON MSPT
Gender: F
Gender: F
Location and contact information for practice:
1682 MONTGOMERY HWY BIRMINGHAM, AZ 35216 US
Tel: 205-421-0000 Fax: 205-421-2016
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
Tel: 205-403-8902 Fax: 205-982-7882
Registration Information:
NPI: 1659337327
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | AL | PTH2391 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AETNA | 7689071 | AL | 01 |
| BLUE CROSS BLUE SHIELD | PPT | AL | 01 |
