Provider Demographics
NPI:1013793462
Name:ADAMOS, ALEXANDRA MARILYN (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:MARILYN
Last Name:ADAMOS
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 1:3121 EUCLID WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-2271
Mailing Address - Country:US
Mailing Address - Phone:760-518-0536
Mailing Address - Fax:
Practice Address - Street 1:3325 W PLANO PKWY
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-8010
Practice Address - Country:US
Practice Address - Phone:972-379-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-01
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1369940225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist