Provider Demographics
NPI:1235667866
Name:WOESSNER, ALEKSANDRA (PT, DPT, CLT, CFPS)
Entity Type:Individual
Prefix:DR
First Name:ALEKSANDRA
Middle Name:
Last Name:WOESSNER
Suffix:
Gender:F
Credentials:PT, DPT, CLT, CFPS
Other - Prefix:DR
Other - First Name:ALEKSANDRA
Other - Middle Name:
Other - Last Name:NOWAKOWSKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, CLT
Mailing Address - Street 1:14583 CREEK BRANCH CT
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-1384
Mailing Address - Country:US
Mailing Address - Phone:203-917-1019
Mailing Address - Fax:
Practice Address - Street 1:12751 SUDLEY MANOR DR
Practice Address - Street 2:
Practice Address - City:BRISTOW
Practice Address - State:VA
Practice Address - Zip Code:20136-2726
Practice Address - Country:US
Practice Address - Phone:571-379-8182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-26
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT011197225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist