Individual
ALEXANDRA NICOLE MAURATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3908 MARYVILLE RD STE 2, GRANITE CITY, IL 62040-4197
(618) 709-4125
(618) 709-4126
Mailing address
7511 W 136TH PL APT 301, OVERLAND PARK, KS 66223-7306
(316) 990-1370
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05577
KS
225100000X
Physical Therapist
Primary
2017025190
MO
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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