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Individual

ALEXA TIMO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1261 5TH AVE, NEW YORK, NY 10029-3822
(212) 534-6464
Mailing address
451 E 14TH ST APT 1B, NEW YORK, NY 10009-2813
(732) 939-1847

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
044204
NY

Other

Enumeration date
03/18/2019
Last updated
03/18/2019
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