| NPI | 1891172474 |
|---|---|
| Former Name | ALEXIS COLLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MT 17236) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0012849) |
| Enumeration Date | 2015-05-02 |
| Last Update Date | 2019-12-10 |