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NPI Code Detail

MEDICARE: ALEXA COLLINS

MEDICARE:   ALEXA  COLLINS
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 Therapist2305214585VA

General Provider Information

NPI Number : 1295401651
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA COLLINS
Provider Business Mailing Address
First Line : 100 CROSSROADS LOOP APT 304
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-5674
Country : US
Telephone Number : 540-424-2074
Fax Number :
Provider Business Practice Location Address
First Line : 250 JOSEPHS DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3405
Country : US
Telephone Number : 757-272-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 08/17/2021

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Directions to “ ALEXA COLLINS ” Practice Location

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