Individual
ALEXA COURTNEY PELLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 SW 50TH ST APT 304, CAPE CORAL, FL 33914-3459
(570) 730-1916
Mailing address
1502 SW 50TH ST APT 304, CAPE CORAL, FL 33914-3459
(570) 730-1916
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6949
FL
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/13/2021
Last updated
06/08/2023
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