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NPI Code Detail

MEDICARE: ALEXANDRIA FURTADO DPT

MEDICARE:   ALEXANDRIA  FURTADO  DPT
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 Therapist125878IA
2225100000XPhysical Therapist21840MA

General Provider Information

NPI Number : 1396121091
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA FURTADO DPT
Provider Business Mailing Address
First Line : 1675 TIMBER WOLF DR
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-8040
Country : US
Telephone Number : 319-214-0005
Fax Number :
Provider Business Practice Location Address
First Line : 1675 TIMBER WOLF DR
Second Line :
City : NORTH LIBERTY
State : IA
Zip : 52317-8040
Country : US
Telephone Number : 319-214-0005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2015
Last Update Date : 04/20/2026

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Directions to “ ALEXANDRIA FURTADO DPT” Practice Location

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