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Mrs. Sofia Marie Lopez Crisostomo, PT
Pediatric Physical Therapist in Chesapeake, Virginia
NPI 1770892200

Sofia Marie Lopez Crisostomo is a Pediatric Physical Therapist based in Chesapeake, VA and is specialized in Pediatrics. Sofia Marie Lopez Crisostomo practices in Chesapeake, VA and has the professional credentials of PT. The NPI Number for Sofia Marie Lopez Crisostomo is 1770892200 and holds a License No. 2305204168 (Virginia).

The current practice location address for Sofia Marie Lopez Crisostomo is 4016 Raintree Rd, Chesapeake, VA and can be reached out via phone at 757-488-2864 and via fax at 757-488-4735.

Location: 4016 Raintree Rd, Chesapeake, VA, 23321-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770892200
Provider Name
Sofia Marie Lopez Crisostomo
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
4016 Raintree Rd, Chesapeake, VA, 23321-3700
Phone Number
757-488-2864
Fax Number
757-488-4735
Provider Enumeration Date
10/01/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
004979061 05 VA
institution
Provider Business Practice Location Address Details
Address
4016 Raintree Rd
City
Chesapeake
State
Virginia
Zip
23321-3700
Phone Number
757-488-2864
Fax Number
757-488-4735
person
Provider Business Mailing Address Details
Address
4016 Raintree Rd
City
Chesapeake
State
Virginia
Zip
23321-3700
Phone Number
757-488-2864
Fax Number
757-488-4735
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
2305204168 (Virginia)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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