| NPI | 1427564145 |
|---|---|
| Former Name | ALEXANDRA ALLEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT36363) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NC 17602) |
| 225100000X Physical Therapist (Licence: SC 8868) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2023-09-25 |