Provider Demographics
NPI:1972795490
Name:BEARDEN, CHRISTINA RUTH (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:RUTH
Last Name:BEARDEN
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 412307
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2307
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:70 JEFFERSON CT STE 102
Practice Address - Street 2:
Practice Address - City:ZION CROSSROADS
Practice Address - State:VA
Practice Address - Zip Code:22942-9604
Practice Address - Country:US
Practice Address - Phone:540-832-3061
Practice Address - Fax:540-832-3062
Is Sole Proprietor?:No
Enumeration Date:2007-08-17
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1158050225100000X
VACP035081T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist