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Individual

DR. ALEX WAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, ATC

Contact information

Practice address
6401 AMERICA BLVD STE 204, HYATTSVILLE, MD 20782-2357
(301) 276-8840
Mailing address
5823 WIDEWATERS PKWY STE 3, EAST SYRACUSE, NY 13057-3081
(315) 418-4013
(315) 478-0388

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
044940
NY
225100000X
Physical Therapist
Primary
29263
MD
2255A2300X
Athletic Trainer
003194
NY

Other

Enumeration date
04/05/2017
Last updated
10/22/2024
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