Individual
ALEXANDER ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 SW MARKET ST, LEES SUMMIT, MO 64081-2904
(816) 607-7180
Mailing address
8961 METCALF AVE APT 315, OVERLAND PARK, KS 66212-1575
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2020031694
MO
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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