Individual
ALEXIS COSSYLEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
5125 N 58TH AVE, GLENDALE, AZ 85301-7453
(623) 931-5800
Mailing address
906 N 112TH DR, AVONDALE, AZ 85323-7910
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033518
AZ
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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