Provider Demographics
NPI:1386870855
Name:VERTUDES, CHRISTIAN B (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:B
Last Name:VERTUDES
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16360 ADMEASURE CIR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6374
Mailing Address - Country:US
Mailing Address - Phone:571-426-2704
Mailing Address - Fax:703-763-2809
Practice Address - Street 1:16360 ADMEASURE CIR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6374
Practice Address - Country:US
Practice Address - Phone:571-426-2704
Practice Address - Fax:703-763-2809
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist