Basic Information
Provider Information
NPI: 1598973745
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: THOENE
FirstName: CHRISTOPHER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1904 COLGATE AVE
Address2:  
City: RICHMOND
State: VA
PostalCode: 232263507
CountryCode: US
TelephoneNumber: 8186019726
FaxNumber:  
Practice Location
Address1: 2296 JOHN ROLFE PKWY
Address2:  
City: RICHMOND
State: VA
PostalCode: 232336913
CountryCode: US
TelephoneNumber: 8047417077
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/20/2007
LastUpdateDate: 07/28/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X28738CAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000X2305203973VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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