Individual
ALEXANDRA A ZENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26057
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010598428
COMMERCIAL
MD
01
—
434M
MEDICARE
MD
01
—
F517
BLUE CROSS BLUE SHIELD
MD
Enumeration date
10/20/2016
Last updated
06/05/2017
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