Healthcare Provider Details

I. General information

NPI: 1780304857
Provider Name (Legal Business Name): CHRISTINA PEREZ-ALARD DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 KINGSBOROUGH SQ STE B
CHESAPEAKE VA
23320-4988
US

IV. Provider business mailing address

100 WALTER WARD BLVD STE 200
ABINGDON MD
21009-1285
US

V. Phone/Fax

Practice location:
  • Phone: 757-547-0434
  • Fax: 757-547-0625
Mailing address:
  • Phone: 443-512-8337
  • Fax: 443-327-5282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29173
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT032388
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberCP035594T
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: