Individual
ALEXIS POMERVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5660
(315) 393-0055
Mailing address
214 KING ST, OGDENSBURG, NY 13669-1142
(315) 713-5660
(315) 393-0055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013393
NY
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
07/22/2022
Last updated
09/09/2022
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