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NPI Code Detail

MEDICARE: ALEXANDRA JUDGE

MEDICARE: ALEXANDRA JUDGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1003748450
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA JUDGE
Provider Business Mailing Address
First Line : 192 BRAMBLE CT
Second Line :
City : BUFFALO
State : NY
Zip : 14221-1715
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1621 HIGHWAY 17 N
Second Line :
City : NORTH MYRTLE BEACH
State : SC
Zip : 29582-2229
Country : US
Telephone Number : 843-353-3460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ ALEXANDRA JUDGE ” Practice Location

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