Individual
ALEXIS CLAUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 GWYNN OAK AVE, WOODLAWN, MD 21207-5280
(240) 372-0614
Mailing address
2201 WOODVALE LN, MITCHELLVILLE, MD 20721-4132
(410) 499-7988
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20987
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K077-0002
BCBS
MD
Enumeration date
10/19/2006
Last updated
08/30/2016
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