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CHRISTINEB BOLOGNESE PHYSICAL THERAPIST
NPI 1255760526
Specialist in Fairfax, VA

Active since November 06, 2013
10805 MAIN ST STE 100, FAIRFAX, VA 22030(703) 978-8400 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Christineb Bolognese Physical Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINEB BOLOGNESE PHYSICAL THERAPIST (NPI 1255760526) is an individual specialist in Fairfax, Virginia, licensed in Virginia (2305001490) and active in the NPI registry since November 2013.

NPPES Registry Identity

NPI1255760526
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameCHRISTINEB BOLOGNESECredential: PHYSICAL THERAPIST
Location Address10805 MAIN ST STE 100Fairfax, VA 22030-4729
Mailing Address8606 James Creek DrSpringfield, VA 22152-1518 · (703) 644-7041
Phone(703) 978-8400
Sole ProprietorYes
Enumeration DateNovember 6, 2013
✔ NPI 1255760526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 2305001490
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

10805 MAIN ST STE 100, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN REILLY MA CCC-SLP
Speech-Language Pathologist
10805 MAIN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 978-8400
ALLISON NICOLE KENNEY PT
Physical Therapist (Pediatrics)
10805 MAIN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 978-8400
SARA GOODALL BICKLER
Occupational Therapist (Pediatrics)
10805 MAIN ST STE 100
FAIRFAX, VA 22030
Fairfax City (703) 978-8400

Frequently Asked Questions

What is Christineb Bolognese's NPI number?

The NPI number assigned to this healthcare provider is 1255760526, enumerated as an "individual" on November 06, 2013.

Where is the provider located?

The provider is located at 10805 MAIN ST STE 100 FAIRFAX, VA 22030 and the phone number is (703) 978-8400.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.