Individual
ALEXANDRIA MARIE FORTHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2400 BOILING SPRINGS RD # G, BOILING SPRINGS, SC 29316-5304
(864) 599-0799
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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