Individual
ALEXA LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4554 E INVERNESS AVE, MESA, AZ 85206-4639
(480) 530-0774
(480) 497-4756
Mailing address
3636 E RAKESTRAW LN, GILBERT, AZ 85298-0360
(480) 954-7575
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013655
AZ
Other
Enumeration date
06/18/2025
Last updated
03/21/2026
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