Individual
DR. ALEX SIYUFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
762 INDEPENDENCE BLVD STE 772, VIRGINIA BEACH, VA 23455-6200
(757) 228-5201
(757) 481-6175
Mailing address
P.O.BOX 5982, VIRGINIA BEACH, VA 23471-0982
(757) 228-5201
(757) 481-6175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203959
VA
2255A2300X
Athletic Trainer
0126000740
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010337909
—
VA
05
—
010337917
—
VA
05
—
010338239
—
VA
05
—
010339201
—
VA
05
—
010339219
—
VA
05
—
010339227
—
VA
Enumeration date
10/01/2005
Last updated
03/10/2011
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