MEDICARE: CHRISTIAN B VERTUDES DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305204845	VA

General Provider Information

NPI Number	:	1386870855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN B VERTUDES DPT

Provider Business Mailing Address
First Line	:	3783 FETTLER PARK DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-1946
Country	:	US
Telephone Number	:	571-426-2704
Fax Number	:	571-646-4048

Provider Business Practice Location Address
First Line	:	3783 FETTLER PARK DR
Second Line	:
City	:	DUMFRIES
State	:	VA
Zip	:	22025-1946
Country	:	US
Telephone Number	:	571-646-4055
Fax Number	:	571-646-4048

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	01/05/2026

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