Basic Information
Provider Information
NPI: 1932822210
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WOODS
FirstName: ALEXANDRIA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2723 FALLS RIVER AVE
Address2:  
City: RALEIGH
State: NC
PostalCode: 276149879
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 163 MEDICAL PARK DR
Address2:  
City: SILER CITY
State: NC
PostalCode: 273446790
CountryCode: US
TelephoneNumber: 9197994690
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/22/2022
LastUpdateDate: 09/22/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/22/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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