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Individual

ALEXANDRA TAKAGISHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
614 N PINE ST, DERIDDER, LA 70634-3546
(337) 202-0568
Mailing address
16516 HOWARD ST APT A, FORT POLK, LA 71459-7907
(813) 892-4967

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12265
LA

Other

Enumeration date
02/10/2026
Last updated
02/10/2026
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