Individual
CHRISTINE DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
504 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7405
(434) 817-7848
(434) 951-2194
Mailing address
504 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7405
(434) 817-7848
(434) 465-6834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305001815
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010102413
—
VA
01
—
138809
ANTHEM SERVICES
VA
01
—
2130613
MAMSI
VA
01
—
260080717
TRICARE NORTH REGION
—
01
—
P00145090
MEDICARE PIN
VA
Enumeration date
02/08/2006
Last updated
01/29/2018
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