Individual
ALEXIS FEARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
605 GLEN AVE, MOORESTOWN, NJ 08057-1125
(856) 906-1682
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02380700
NJ
Other
Enumeration date
10/27/2025
Last updated
11/13/2025
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