Provider Demographics
NPI:1487803730
Name:ANDERSON, CHRISTOPHER (LPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7401 BEAUFONT SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-5520
Mailing Address - Country:US
Mailing Address - Phone:804-272-0114
Mailing Address - Fax:804-272-1125
Practice Address - Street 1:7401 BEAUFONT SPRINGS DR
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-5520
Practice Address - Country:US
Practice Address - Phone:804-272-0114
Practice Address - Fax:804-272-1125
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004340225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist