| NPI | 1598120396 |
|---|---|
| Former Name | ALEXANDRA L ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT025569) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OK 5097) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2024-11-07 |