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 1:17909 N SHORE DR
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3980
Mailing Address - Country:US
Mailing Address - Phone:540-931-3037
Mailing Address - Fax:
Practice Address - Street 1:17909 N SHORE DR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3980
Practice Address - Country:US
Practice Address - Phone:540-931-3037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2016-12-27
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