Provider Demographics
NPI:1194247361
Name:INTERIANO, ALEXANDRIA ANDREWS (DPT)
Entity type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:ANDREWS
Last Name:INTERIANO
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 1:676 LYON ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-1309
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 CALIFORNIA ST STE 530
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4591
Practice Address - Country:US
Practice Address - Phone:415-921-1758
Practice Address - Fax:415-921-1762
Is Sole Proprietor?:No
Enumeration Date:2017-07-10
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA293183225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist