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NPI Code Detail

MEDICARE: ALEXANDRA ROJAS PT, DPT, ATC, CSCS

MEDICARE:   ALEXANDRA  ROJAS  PT, DPT, ATC, CSCS
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 Therapist5639NH
22255A2300XAthletic Trainer
3225100000XPhysical Therapist040.0134913VT

General Provider Information

NPI Number : 1679987945
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA ROJAS PT, DPT, ATC, CSCS
Provider Business Mailing Address
First Line : 15 DRAKE LN
Second Line :
City : WEST LEBANON
State : NH
Zip : 03784-1023
Country : US
Telephone Number : 720-984-6423
Fax Number :
Provider Business Practice Location Address
First Line : 100 ARBORETUM LN
Second Line :
City : WHITE RIVER JUNCTION
State : VT
Zip : 05001-3320
Country : US
Telephone Number : 802-359-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2014
Last Update Date : 02/19/2025

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