ALEXANDRA WIDCAMP - FEAGIN

LAKE CHARLES, LA
NPI1154947497
Former NameALEXANDRA WIDCAMP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: LA  10618)
Enumeration Date2020-06-23
Last Update Date2023-07-27
Business Address
ALEXANDRA WIDCAMP - FEAGIN DPT
4141 COMMON ST
LAKE CHARLES, LA 70607-4501
Phone number: 337-990-5621
Mailing Address
ALEXANDRA WIDCAMP - FEAGIN DPT
4141 COMMON ST
LAKE CHARLES, LA 70607-4501
Phone number: 337-990-5621