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Individual

ALEXUS LOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS

Contact information

Practice address
95 SKIDAWAY ISLAND PARK RD, SAVANNAH, GA 31411-1104
(800) 889-6238
Mailing address
100 SHELLBARK WAY APT 22207, SAVANNAH, GA 31407-3705
(323) 767-3072

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007071
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225X00000X
GA
Enumeration date
12/09/2018
Last updated
12/09/2018
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