Individual
MATTHEW ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
759 45TH AVE, STE. 202, MUNSTER, IN 46321-2938
(219) 836-0193
(219) 836-2452
Mailing address
1040 SIERRA DR, STE. 400, GREENWOOD, IN 46143-7240
(317) 528-4886
(317) 859-8239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004524
—
IN
Enumeration date
04/24/2017
Last updated
02/26/2019
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