Individual
ALEXIS EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7820 BALTUSROL BLVD, GAINESVILLE, VA 20155-3270
(571) 284-7432
Mailing address
14100 EMBREY RD, SUMERDUCK, VA 22742-2004
(540) 270-4228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002619
VA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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