Individual
ALEXIS ANASTASIA BAKALAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 RADIO DR, WOODBURY, MN 55125-2619
(952) 831-8742
Mailing address
602 2ND ST W, CANBY, MN 56220-1281
(507) 829-9238
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
13537
MN
Other
Enumeration date
06/21/2024
Last updated
06/25/2024
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