Individual
ALEXANDRIA GOSNELL
Active
Individual
ALEXANDRIA GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, LAT, LMT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305210661
VA
2255A2300X
Athletic Trainer
0126002729
VA
225700000X
Massage Therapist
0019011553
VA
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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