Provider Demographics
NPI:1336473818
Name:BROWN, ALEXANDRA W (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:W
Last Name:BROWN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 SE FEDERAL HWY STE 5
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-4905
Mailing Address - Country:US
Mailing Address - Phone:772-223-3440
Mailing Address - Fax:772-221-3373
Practice Address - Street 1:3610 SE FEDERAL HWY STE 5
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-4905
Practice Address - Country:US
Practice Address - Phone:772-223-3440
Practice Address - Fax:772-221-3373
Is Sole Proprietor?:No
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PT24965OtherFLORIDA PHYSICAL THERAPY BOARD