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Individual
S ALEXIS ANDERSON
Active
Individual
S ALEXIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10420
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10420
LIC
AZ
Enumeration date
08/26/2013
Last updated
06/16/2026
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