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NPI Code Detail

MEDICARE: ALEXIS MECRAY SPOSETTI

MEDICARE:   ALEXIS MECRAY SPOSETTI
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
1208100000XPhysical Medicine & Rehabilitation PhysicianPT002640LPA

General Provider Information

NPI Number : 1629684956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS MECRAY SPOSETTI
Provider Business Mailing Address
First Line : 147 KRAUSER RD
Second Line :
City : DOWNINGTOWN
State : PA
Zip : 19335-1502
Country : US
Telephone Number : 484-888-3036
Fax Number :
Provider Business Practice Location Address
First Line : 1200 TEL HAI CIR
Second Line :
City : HONEY BROOK
State : PA
Zip : 19344-1271
Country : US
Telephone Number : 484-796-4261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2020
Last Update Date : 09/22/2020

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Directions to “ ALEXIS MECRAY SPOSETTI ” Practice Location

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