MEDICARE: CHRISTOPHER DAYGER P.T., A.T.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	026343	NY
2	2255A2300X	Athletic Trainer	001202	NY

General Provider Information

NPI Number	:	1356324230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER DAYGER P.T., A.T.C.

Provider Business Mailing Address
First Line	:	PO BOX 1464
Second Line	:
City	:	MILLBROOK
State	:	NY
Zip	:	12545-1464
Country	:	US
Telephone Number	:	845-677-5021
Fax Number	:	845-677-3117

Provider Business Practice Location Address
First Line	:	2 FRONT STREET
Second Line	:
City	:	MILLBROOK
State	:	NY
Zip	:	12545
Country	:	US
Telephone Number	:	845-677-5021
Fax Number	:	845-677-3117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	11/15/2007

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