Provider Demographics
NPI:1013936434
Name:DAWSON, ALINA D (PT,DPT)
Entity type:Individual
Prefix:
First Name:ALINA
Middle Name:D
Last Name:DAWSON
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:HUDDLESTON
Mailing Address - State:VA
Mailing Address - Zip Code:24104-0378
Mailing Address - Country:US
Mailing Address - Phone:540-227-6086
Mailing Address - Fax:571-363-2753
Practice Address - Street 1:130 S 20TH ST
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3301
Practice Address - Country:US
Practice Address - Phone:540-227-0390
Practice Address - Fax:571-440-2801
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202153225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA012378F97Medicare UPIN
P00465991Medicare UPIN