Individual
CHRISTINE PENDLETON
Active
Individual
CHRISTINE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204148
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150718500
DEPT OF LABOR
VA
01
—
16040
COMMUNITY HEALTH
VA
01
—
182414
BCBS INDIVIDUAL
VA
01
—
194082
BCBS GROUP # FR
VA
01
—
194083
BCBS GROUP # WI
VA
01
—
194085
BCBS GROUP # WS
VA
01
—
4576361
AETNA
VA
01
—
541966445
SOUTHERN HEALTH
VA
01
—
P00264305
RR MEDICARE
VA
Enumeration date
09/28/2006
Last updated
12/20/2024
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