Individual
JENNIFER J ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1526PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197812
WA STATE WORK COMP PROV #
MT
05
—
0347259
—
MT
01
—
60098
BCBS OF MT PROVIDER #
MT
01
—
MSF1171435
MT STATE FUND COMP PROV#
MT
Enumeration date
10/14/2005
Last updated
08/15/2008
Update your record
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