Provider Demographics
NPI:1205548484
Name:ROWLAND, ALEXIS ANNE (DPT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANNE
Last Name:ROWLAND
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 1:1505 WATERBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:FLEMING ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32003-8689
Mailing Address - Country:US
Mailing Address - Phone:443-433-6585
Mailing Address - Fax:
Practice Address - Street 1:802 KENILWORTH DR
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2201
Practice Address - Country:US
Practice Address - Phone:443-966-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT39062OtherSTATE OF FLORIDA DEPARTMENT OF HEALTH