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Individual

ALEXANDRA GREATHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
150 W MAIN ST, NEW ALBANY, OH 43054-9229
(614) 685-9425
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
015326
OH
2251P0200X
Pediatric Physical Therapist
Primary
PT015326
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0144812
OH
Enumeration date
08/06/2015
Last updated
04/09/2025
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