Individual
ALEXIS MIELKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2655 BUSH ST STE C-1, SAN FRANCISCO, CA 94115-3048
(949) 412-0962
Mailing address
2655 BUSH ST STE C-1, SAN FRANCISCO, CA 94115-3048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
43006
CA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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