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NPI Code Detail

MEDICARE: ALEXANDRA BRYAN CLEARY

MEDICARE: ALEXANDRA BRYAN CLEARY
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 TherapistP24516NC

General Provider Information

NPI Number : 1184584245
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA BRYAN CLEARY
Provider Business Mailing Address
First Line : 8637 RIVER RIDGE DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28213-5096
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2300 GALLBERRY LN
Second Line :
City : WAXHAW
State : NC
Zip : 28173-0161
Country : US
Telephone Number : 704-649-4509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2025
Last Update Date : 01/27/2026

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Directions to “ ALEXANDRA BRYAN CLEARY ” Practice Location

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