Provider Demographics
NPI:1699294421
Name:FREEMAN, ALEXANDER SEBASTIAN (ATC, VA-LAT)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:SEBASTIAN
Last Name:FREEMAN
Suffix:
Gender:
Credentials:ATC, VA-LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 LAUREL SPRING RD
Mailing Address - Street 2:
Mailing Address - City:PRINCE GEORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23875-3328
Mailing Address - Country:US
Mailing Address - Phone:804-733-2720
Mailing Address - Fax:
Practice Address - Street 1:7801 LAUREL SPRING RD
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-3328
Practice Address - Country:US
Practice Address - Phone:804-733-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-13
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260035322255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer