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NPI Code Detail

MEDICARE: MR. CHRISTOPHER BRANDON REAM MPT, CSCS

MEDICARE: MR. CHRISTOPHER BRANDON REAM MPT, CSCS
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
1225100000XPhysical Therapist2305202156VA

General Provider Information

NPI Number : 1649233461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER BRANDON REAM MPT, CSCS
Provider Business Mailing Address
First Line : 5120 SYLVAN RD
Second Line :
City : RICHMOND
State : VA
Zip : 23225-3040
Country : US
Telephone Number : 804-440-9909
Fax Number :
Provider Business Practice Location Address
First Line : 3413 COX RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-2001
Country : US
Telephone Number : 804-527-1460
Fax Number : 804-527-1463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2006
Last Update Date : 05/20/2010

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