NPI 1134114408

Alexandra Mary Petze, ATCCHES

Practitioner Athletic Trainer Reston, VA

Practice location

Address: 11921 Freedom Drive Suite 550 Cigna Healthcare, Reston, VA 20190
Phone: (703) 736-8393
Mailing address: 3856 Dominion Mill Dr, Alexandria, VA 22304-6452

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Virginia →

Registry record

NPI: 1134114408
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2005
Record last updated: 1 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.