Individual
ALEXANDER SY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1275 W GRANADA BLVD STE 4B2, ORMOND BEACH, FL 32174-8259
(386) 615-1112
Mailing address
9564 WORTHINGTON RIDGE RD, ORLANDO, FL 32829-8205
(407) 721-3558
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PTA29823
FL
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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