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Individual

MR. RICHARD VICTOR ALEXANDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.RPT

Contact information

Practice address
430 W MAIN ST, DOTHAN, AL 36301-1616
(334) 677-6955
Mailing address
1831 HARTFORD HWY, DOTHAN, AL 36301-4927
(334) 793-3231

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH3261
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT19986
PHYSICAL THERAPY LICENSE
FL
01
PTH3261
PHYSICAL THERAPY LICENSE
AL
Enumeration date
11/29/2006
Last updated
07/08/2007
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