Individual
ALEXANDRIA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11015 WARWICK BLVD, NEWPORT NEWS, VA 23601-3225
(757) 591-7291
Mailing address
3912 BREEZEPORT WAY APT 201, SUFFOLK, VA 23435-1094
(818) 825-2074
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306605333
VA
Other
Enumeration date
07/31/2019
Last updated
08/01/2019
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