Individual
ALYXANDRA MARIE PERRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4816 E BAYSHORE RD, PORT CLINTON, OH 43452-3910
(419) 341-9643
Mailing address
4816 E BAYSHORE RD, PORT CLINTON, OH 43452-3910
(419) 341-9643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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