Individual
ALEXANDRA VITEK COBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PA-C
Contact information
Practice address
3009 NEW BERN AVE, RALEIGH, NC 27610-1214
(919) 232-5020
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2268
NC
363AS0400X
Surgical Physician Assistant
Primary
0110005640
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679913727
—
VA
Enumeration date
07/02/2013
Last updated
02/18/2021
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