Provider Demographics
NPI:1336603182
Name:ALLEVA, ALISON (LMT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:ALLEVA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 ORCHID DR
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-1837
Mailing Address - Country:US
Mailing Address - Phone:202-215-8062
Mailing Address - Fax:
Practice Address - Street 1:1726 WISCONSIN AVE NW STE 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20007-2365
Practice Address - Country:US
Practice Address - Phone:202-215-8062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMT0837225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist