MEDICARE: CHRISTINE MARIE HOOPER 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	208100000X	Physical Medicine & Rehabilitation Physician	2305216726	VA

General Provider Information

NPI Number	:	1093534109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE MARIE HOOPER DPT

Provider Business Mailing Address
First Line	:	2513 BEACON HILL RD
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-1609
Country	:	US
Telephone Number	:	571-643-3225
Fax Number	:

Provider Business Practice Location Address
First Line	:	6355 WALKER LN STE 100
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22310-3238
Country	:	US
Telephone Number	:	703-797-6900
Fax Number	:	571-665-6952

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

Provider Enumeration Date	:	10/07/2024
Last Update Date	:	10/07/2024

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Directions to “ CHRISTINE MARIE HOOPER DPT” Practice Location

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