Individual
ALIXANDRA LIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-7059
Mailing address
266 9TH ST # 1, BROOKLYN, NY 11215-3906
(347) 576-9915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044755
NY
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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