Provider Demographics
NPI:1376380428
Name:AL-SHRAWI, ANAS ABDULRAHMAN (DPT, PT)
Entity type:Individual
Prefix:
First Name:ANAS
Middle Name:ABDULRAHMAN
Last Name:AL-SHRAWI
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1769
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20118-1769
Mailing Address - Country:US
Mailing Address - Phone:703-824-0701
Mailing Address - Fax:703-824-0704
Practice Address - Street 1:5115 LEESBURG PIKE
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3207
Practice Address - Country:US
Practice Address - Phone:703-824-0701
Practice Address - Fax:703-824-0704
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216802225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist