Individual
ALEXANDRA HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8827 N GOVERNMENT WAY UNIT 102, HAYDEN, ID 83835-8231
(208) 243-9335
Mailing address
8827 N GOVERNMENT WAY UNIT 102, HAYDEN, ID 83835-8231
(208) 243-9335
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4061279
ID
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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