Provider Demographics
NPI:1649233461
Name:REAM, CHRISTOPHER BRANDON (MPT, CSCS)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRANDON
Last Name:REAM
Suffix:
Gender:M
Credentials:MPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5120 SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3040
Mailing Address - Country:US
Mailing Address - Phone:804-440-9909
Mailing Address - Fax:
Practice Address - Street 1:3413 COX RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-2001
Practice Address - Country:US
Practice Address - Phone:804-527-1460
Practice Address - Fax:804-527-1463
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist