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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDERIC WIXSON, MSPT, GCS

Active Sole Proprietor

FREDERIC WIXSON, MSPT, GCS is a Physical Therapy Clinic healthcare provider located in ALEXANDRIA, Virginia. NPI 1194363523 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Clinic · ALEXANDRIA, VA

Registration Details

NPI Number
1194363523
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2019 (6.6780220058198 yrs)
Last Updated
Apr 6, 2020
License
2305005410 (VA)
Sole Proprietor
Yes

Practice Information

Address
417 E WINDSOR AVE
ALEXANDRIA, VA, 223011227
Browse VA providers · Browse ZIP 22301
Phone
7037398244
Primary Specialty
Physical Therapy Clinic
261QP2000X

Other Physical Therapy Clinic Providers in ALEXANDRIA, VA

Name Credential NPI
DR. SAMANTHA HOPE FIERRO DPT 1750630075
JOYCE ABIODUN 1417676438
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.