Individual
ALEXIS GROOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
725 S WEBSTER AVE, GREEN BAY, WI 54301-3504
(920) 433-7881
Mailing address
2542 DUNBAR LN, GREEN BAY, WI 54304-1648
(920) 366-3342
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1319-19
WI
Other
Enumeration date
04/22/2008
Last updated
11/25/2008
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