Provider Demographics
NPI:1801375084
Name:ALIFRANGIS, CHRISTINA STYLIANI
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:STYLIANI
Last Name:ALIFRANGIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3753 MARK DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-2426
Mailing Address - Country:US
Mailing Address - Phone:571-345-4042
Mailing Address - Fax:
Practice Address - Street 1:700 N FAIRFAX ST STE 500
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2090
Practice Address - Country:US
Practice Address - Phone:571-305-1053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305212773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist