Individual
ALEXANDER LUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 E ORANGEBURG AVE, MODESTO, CA 95350-5334
(209) 526-2811
Mailing address
4313 DUNES CT, MODESTO, CA 95356-9390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10856
CA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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