Individual
MS. ALEXANDRA G. PHOENIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
715 FLORIDA AVE S, SUITE 206, MINNEAPOLIS, MN 55426-1719
(763) 541-1671
Mailing address
8116 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4407
(763) 512-1822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
101676
MN
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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