Provider Demographics
NPI:1982957429
Name:LEEWRIGHT, ALEXANDRA V (MPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:V
Last Name:LEEWRIGHT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:
Other - Last Name:VELEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:530 CEDAR POINT BLVD
Mailing Address - Street 2:
Mailing Address - City:CEDAR POINT
Mailing Address - State:NC
Mailing Address - Zip Code:28584-8008
Mailing Address - Country:US
Mailing Address - Phone:252-393-8828
Mailing Address - Fax:252-393-7928
Practice Address - Street 1:530 CEDAR POINT BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR POINT
Practice Address - State:NC
Practice Address - Zip Code:28584-8008
Practice Address - Country:US
Practice Address - Phone:252-393-8828
Practice Address - Fax:252-393-7928
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13952225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist