| NPI | 1922654326 |
|---|---|
| Former Name | MADISON ALEXANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR 4639) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI CP058026T) |
| 225100000X Physical Therapist (Licence: NC CP058061T) | |
| 225100000X Physical Therapist (Licence: GA CP057913T) | |
| 225100000X Physical Therapist (Licence: VA CP057867T) | |
| 225100000X Physical Therapist (Licence: SC CP057866T) | |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2026-05-27 |