Provider Demographics
NPI:1528787637
Name:SYMONS, SYDNEY HEIDI (PT, DPT)
Entity type:Individual
Prefix:
First Name:SYDNEY
Middle Name:HEIDI
Last Name:SYMONS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SYDNEY
Other - Middle Name:HEIDI
Other - Last Name:CARNAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6410 ARLINGTON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2359
Mailing Address - Country:US
Mailing Address - Phone:703-717-7657
Mailing Address - Fax:
Practice Address - Street 1:6410 ARLINGTON BLVD STE A
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2359
Practice Address - Country:US
Practice Address - Phone:703-717-7657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305215320225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist