Individual
ALEXA CORONEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7950 LAKE UNDERHILL ROAD, ORLANDO, FL 32825
(407) 658-2046
Mailing address
4460 WINTER OAKS LN, ORLANDO, FL 32812-8233
(973) 234-8924
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 22737
FL
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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