Individual
MARIE MAY CHRISTOPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
12695 MCMANUS BLVD, BLDG 6, STE B, NEWPORT NEWS, VA 23602-4435
(757) 874-0032
(757) 874-0127
Mailing address
771 PILOT HOUSE DR, NEWPORT NEWS, VA 23606-1990
(757) 873-2302
(757) 873-2306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305204918
VA
225100000X
Physical Therapist
J1-0002129
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192948
BCBS (PHYSICAL THERAPY)
VA
01
—
7881903
AETNA
VA
Enumeration date
02/08/2007
Last updated
11/07/2007
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