Individual
ALEXIS LAUREN KEITH AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
254 NEWARK AVE, JERSEY CITY, NJ 07302-2633
(551) 222-4396
(551) 222-4398
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01975800
NJ
225100000X
Physical Therapist
—
CA
Other
Enumeration date
06/13/2019
Last updated
11/25/2020
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