Provider Demographics
NPI:1962268789
Name:CUNNIFFE, ALISON (DPT, PT)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:CUNNIFFE
Suffix:
Gender:F
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 1:455 S MAPLE AVE APT 408
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-4278
Mailing Address - Country:US
Mailing Address - Phone:201-841-9932
Mailing Address - Fax:
Practice Address - Street 1:2987 DISTRICT AVE STE 140
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-1571
Practice Address - Country:US
Practice Address - Phone:703-890-0433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-28
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305216300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist