Individual
ALEXANDRA BIALOUSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3736 ROBERT GRISSOM PKWY, MYRTLE BEACH, SC 29577-6405
(800) 304-7152
Mailing address
3736 ROBERT GRISSOM PKWY, MYRTLE BEACH, SC 29577-6405
(843) 602-0289
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4597
SC
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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