Provider Demographics
NPI:1639789175
Name:HOPE, ALEXANDRIA DEAN
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:DEAN
Last Name:HOPE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 GRAND ISLE DR APT 1739
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-4799
Mailing Address - Country:US
Mailing Address - Phone:660-287-7459
Mailing Address - Fax:
Practice Address - Street 1:2211 GRAND ISLE DR APT 1739
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-4799
Practice Address - Country:US
Practice Address - Phone:660-287-7459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020002061225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant