Healthcare Provider Details

I. General information

NPI: 1528742657
Provider Name (Legal Business Name): ALICE AEHL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2023
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 H ST NW STE 1100
WASHINGTON DC
20005-5967
US

IV. Provider business mailing address

325 AUTUMN WOOD LN
ROSWELL GA
30075-2186
US

V. Phone/Fax

Practice location:
  • Phone: 202-794-6821
  • Fax: 202-897-2169
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT016596
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: