Individual
MR. ALEXANDER CHRISTIAN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4737 EL CAMINO AVE, CARMICHAEL, CA 95608-4938
(916) 487-3473
(916) 487-3483
Mailing address
4737 EL CAMINO AVE, CARMICHAEL, CA 95608-4938
(916) 487-3473
(916) 487-3483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ31483Z
MEDICARE ID-TYPE UNSPECIFIED GROUP IDENTIFIER
CA
Enumeration date
11/24/2007
Last updated
10/26/2010
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