Individual
MR. ALEXANDER STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5440 CADDIS BND, FITCHBURG, WI 53711-7105
(866) 860-2715
Mailing address
3851 CLOVER LN, MADISON, WI 53714-2903
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2623
WI
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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