Provider Demographics
NPI:1245077890
Name:COX, ALAYNA CAMRYN (PTA)
Entity type:Individual
Prefix:
First Name:ALAYNA
Middle Name:CAMRYN
Last Name:COX
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15381 FLEMING ST
Mailing Address - Street 2:
Mailing Address - City:KING GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:22485-5735
Mailing Address - Country:US
Mailing Address - Phone:301-861-9077
Mailing Address - Fax:
Practice Address - Street 1:4240 ALTAMONT PL STE 103
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3092
Practice Address - Country:US
Practice Address - Phone:301-638-5842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA5949225200000X
MD225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant