| Doctor Name: | MRS. ALIX VERNON |
| NPI Number: | 1326180589 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 11-03668 |
| Business Practice Address: | 11240 Waples Mill Rd Fairfax, VA - 220306078 |
| Business Phone Number: | 7032372219 |
| Business Fax Number: | |
| Mailing Address: | 737 Lawton St, MC LEAN |
| State: | VA |
| Postal Code: | 221011511 |
| Phone Number: | 7033109230 |
| Fax Number: | |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 08/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 11-03668 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |