| NPI | 1588069199 |
|---|---|
| Former Name | ALEXA ANGELINA EBERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011736) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL 29465) |
| Enumeration Date | 2014-10-24 |
| Last Update Date | 2022-01-10 |