Individual
ALEXA ERIN DEHAESELEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 27TH ST E, BRADENTON, FL 34208-7831
(818) 447-2663
Mailing address
17555 NORDHOFF ST, NORTHRIDGE, CA 91325-2902
(818) 447-2663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/22/2017
Last updated
02/13/2022
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