Individual
ALEXANDRA LANGE WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
110 E 42ND ST RM 1504, NEW YORK, NY 10017-8541
(212) 354-2622
(212) 354-2752
Mailing address
211 N END AVE APT 24B, NEW YORK, NY 10282-1234
(518) 225-3993
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038868-1
NY
Other
Enumeration date
12/05/2017
Last updated
04/13/2021
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