Provider Demographics
NPI:1518228162
Name:PAROULEK, ALEXANDRA FRANCES (LMT)
Entity Type:Individual
Prefix:MISS
First Name:ALEXANDRA
Middle Name:FRANCES
Last Name:PAROULEK
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 NE 214TH LN
Mailing Address - Street 2:APT. 4
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-1263
Mailing Address - Country:US
Mailing Address - Phone:305-409-0220
Mailing Address - Fax:
Practice Address - Street 1:807 NE 214TH LN
Practice Address - Street 2:APT. 4
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-1263
Practice Address - Country:US
Practice Address - Phone:305-409-0220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA63504172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist