# DR. ALEX WAFER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568995702
- **Gender:** Man
- **Credential:** PT, DPT, ATC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 044940 | NY | — |
| 225100000X | Physical Therapist | 29263 | MD | Yes |
| 2255A2300X | Athletic Trainer | 003194 | NY | — |

## Other

- **Enumeration date:** 04/05/2017
- **Last updated:** 10/22/2024
