Healthcare Provider Details

I. General information

NPI: 1881139079
Provider Name (Legal Business Name): DR. ALINA, LLC DBA FULL DISTANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2016
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38835 RIDGE CT
HAMILTON VA
20158-3119
US

IV. Provider business mailing address

PO BOX 378
HUDDLESTON VA
24104-0378
US

V. Phone/Fax

Practice location:
  • Phone: 570-406-8767
  • Fax:
Mailing address:
  • Phone: 540-328-1983
  • Fax: 571-363-2753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: ALINA D DAWSON
Title or Position: OWNER
Credential:
Phone: 540-227-6086