Provider Demographics
NPI:1780567370
Name:ABRAVANEL, ALEXANDRA CATHRYN (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CATHRYN
Last Name:ABRAVANEL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 STEPHANIE CIR
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:VA
Mailing Address - Zip Code:22066-2838
Mailing Address - Country:US
Mailing Address - Phone:703-966-9615
Mailing Address - Fax:
Practice Address - Street 1:6720A ROCKLEDGE DR STE 500
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1888
Practice Address - Country:US
Practice Address - Phone:301-530-7303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305217091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist