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Individual

ALEXANDRA NUTTALL-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
532 11TH ST UNIT A, HERMOSA BEACH, CA 90254-4229
(310) 371-4774
Mailing address
532 11TH ST UNIT A, HERMOSA BEACH, CA 90254-4229

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 22747
CA

Other

Enumeration date
08/27/2015
Last updated
08/27/2015
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