Individual
ALEXANDRA GIANOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS,ATC-L, MAT
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6339
Mailing address
621 S NEW BALLAS RD STE 112A, SAINT LOUIS, MO 63141-8252
(314) 251-6339
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL2885
FL
363A00000X
Physician Assistant
Primary
2021024746
MO
363A00000X
Physician Assistant
3540
SC
Other
Enumeration date
07/16/2016
Last updated
09/21/2021
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