Individual
ALEXIS ILEANA ENCARNACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
375 E VIRGINIA AVE STE B, PHOENIX, AZ 85004-1202
(602) 264-0443
Mailing address
1333 E MORTEN AVE UNIT 208, PHOENIX, AZ 85020-4560
(623) 986-1848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/14/2020
Last updated
06/14/2020
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