Healthcare Provider Details

I. General information

NPI: 1831990563
Provider Name (Legal Business Name): ALEXANDER HARVEY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2025
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6425 RICHMOND RD
WILLIAMSBURG VA
23188-7202
US

IV. Provider business mailing address

5684 SAINT LEGER DR
PROVIDENCE FORGE VA
23140-4558
US

V. Phone/Fax

Practice location:
  • Phone: 757-345-3242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2306605948
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: