Individual
ALEXANDRA LOUISE AUGUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
600 S WILBUR AVE, SYRACUSE, NY 13204-2730
(131) 543-0694
Mailing address
216 BLOOMFIELD ST, BALDWINSVILLE, NY 13027-3462
(315) 430-6942
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598806564
—
NY
Enumeration date
11/29/2018
Last updated
06/06/2022
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