Individual
ALEXANDRA M KOCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22695
MA
225100000X
Physical Therapist
PT023988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110120615A
—
MA
01
—
4172419
AETNA
MA
01
—
441819
TUFTS
MA
Enumeration date
10/03/2014
Last updated
03/28/2018
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