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Individual
MISS JESSICA RENNIE ALEXANDER
Active
Individual
MISS JESSICA RENNIE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002533
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200050420
MVP
VT
01
—
566686900
CIGNA
VT
05
—
OVN2099
—
VT
Enumeration date
06/14/2006
Last updated
07/08/2007
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