Provider Demographics
NPI:1417144197
Name:DIGGES, ALEXANDER L JR (PT)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:L
Last Name:DIGGES
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:L
Other - Last Name:DIGGES
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:344 MCLAWS CIR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5648
Mailing Address - Country:US
Mailing Address - Phone:757-564-7381
Mailing Address - Fax:757-564-7391
Practice Address - Street 1:344 MCLAWS CIR
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5648
Practice Address - Country:US
Practice Address - Phone:757-564-7381
Practice Address - Fax:757-564-7391
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2007-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305202326225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist