Provider Demographics
NPI:1952702037
Name:HARRISON, ALEXANDRA (PT, DPT, NCS)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:PT, DPT, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 AVON BELDEN RD
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2282
Mailing Address - Country:US
Mailing Address - Phone:440-930-6800
Mailing Address - Fax:440-930-2823
Practice Address - Street 1:450 AVON BELDEN RD
Practice Address - Street 2:
Practice Address - City:AVON LAKE
Practice Address - State:OH
Practice Address - Zip Code:44012-2282
Practice Address - Country:US
Practice Address - Phone:440-930-6800
Practice Address - Fax:440-930-2823
Is Sole Proprietor?:No
Enumeration Date:2014-09-09
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT.014970225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist