Individual
ALEXANDER GAMMICCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2001 SOLAR DR STE 150, OXNARD, CA 93036-0680
(805) 604-1924
(805) 604-0176
Mailing address
14238 WAYFORD RUN, SHELBY TOWNSHIP, MI 48315-4840
(586) 665-0495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
295194
CA
225100000X
Physical Therapist
PT295194
CA
Other
Enumeration date
08/18/2018
Last updated
11/27/2023
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