Individual
ALEXIS ANNE GAHAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
(925) 801-4050
Mailing address
5015 HAVEN PL APT 105, DUBLIN, CA 94568-7922
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11072
CA
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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