Individual
CHRISTINEB BOLOGNESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
10805 MAIN ST STE 100, FAIRFAX, VA 22030-4729
(703) 978-8400
Mailing address
8606 JAMES CREEK DR, SPRINGFIELD, VA 22152-1518
(703) 644-7041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2305001490
VA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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