Provider Demographics
NPI:1407547078
Name:LONNER, ALEXANDRA SIMONE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:SIMONE
Last Name:LONNER
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 1:6400 GOLDSBORO RD STE 340
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-5824
Mailing Address - Country:US
Mailing Address - Phone:301-244-9099
Mailing Address - Fax:301-710-0603
Practice Address - Street 1:6400 GOLDSBORO RD STE 340
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-5824
Practice Address - Country:US
Practice Address - Phone:301-244-9099
Practice Address - Fax:301-710-0603
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist