Individual
ALEXIS DANIELLE SHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1760 OLD MEADOW RD STE 200, MC LEAN, VA 22102-4330
(703) 988-4664
(571) 289-4690
Mailing address
12212 SELINE WAY, POTOMAC, MD 20854-2872
(301) 461-7371
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305213291
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305213291
PT LICENSE
VA
Enumeration date
04/25/2019
Last updated
11/13/2019
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