Individual
ALEXANDRA CATHERYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 S EASTERN AVE STE 220, HENDERSON, NV 89052-6202
(702) 614-0324
(702) 614-0324
Mailing address
1710 W HORIZON RIDGE PKWY STE 110, HENDERSON, NV 89012-4901
(702) 489-9127
(702) 489-9134
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3632
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770002396
—
NV
Enumeration date
09/14/2017
Last updated
10/24/2022
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