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General NPI Number Information
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NPI Number | 1932616406
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Entity Type | Individual
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Provider Name | ALEXANDRA PFEFFERLE WILSON DPT, PT, OCS, ATC
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Gender | Female
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Dates
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Enumeration Date | 01/05/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 2620 METAIRIE LAWN DR
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City | METAIRIE
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State | LA
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Zip | 70002-6107
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Country | US
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Telephone | 504-841-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 METAIRIE LAWN DR
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City | METAIRIE
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State | LA
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Zip | 70002-6107
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Country | US
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Telephone | 850-881-3913
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 300084
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT38183
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 306003
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 12115R
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License Number State | LA
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