Individual
ALEXIS BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 THEODORE ST UNIT 1, PHILADELPHIA, PA 19142-2106
(267) 349-1349
Mailing address
6924 WAXWING PL, PHILADELPHIA, PA 19142-2514
(267) 349-1349
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO253730
PA
Other
Enumeration date
12/02/2024
Last updated
02/03/2025
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