Individual
MS. ALEXIS NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2401 PENNSYLVANIA AVE., STE. 1D5, PHILADELPHIA, PA 19130
(215) 236-3466
Mailing address
919 MORRIS ST, PHILADELPHIA, PA 19148-1111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT020265
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT020265
PHYSICAL THERAPY LICENSE
PA
Enumeration date
05/13/2010
Last updated
12/29/2020
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