Provider Demographics
NPI:1619328523
Name:LANGFORD, ALEXANDRA CLAIRE (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CLAIRE
Last Name:LANGFORD
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 1:91-1027 SHANGRILA ST # 1867
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2101
Mailing Address - Country:US
Mailing Address - Phone:405-249-5700
Mailing Address - Fax:
Practice Address - Street 1:91-1027 SHANGRILA ST # 1867
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2101
Practice Address - Country:US
Practice Address - Phone:405-249-5700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-22
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1274969225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist