Individual
CHRISTOPHER GREETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
12544 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5259
(703) 730-6969
(703) 730-1169
Mailing address
12544 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5259
(703) 730-6969
(703) 730-1169
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004216
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265662
ANTHEM PROVIDER NUMBER
VA
01
—
S427-0002
CAREFIRST BCBS PROVIDER #
VA
Enumeration date
06/20/2005
Last updated
09/14/2022
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