MEDICARE: CHRISTINA BERBEN 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	2305204769	VA

General Provider Information

NPI Number	:	1407961477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA BERBEN DPT

Provider Business Mailing Address
First Line	:	5477 GERMANNA HWY
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2018
Country	:	US
Telephone Number	:	540-972-9610
Fax Number	:	540-972-9516

Provider Business Practice Location Address
First Line	:	5477 GERMANNA HWY
Second Line	:
City	:	LOCUST GROVE
State	:	VA
Zip	:	22508-2018
Country	:	US
Telephone Number	:	540-972-9610
Fax Number	:	540-972-9516

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

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	08/19/2009

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