Provider Demographics
NPI:1396508818
Name:HITCHENS, ALEXANDRA LYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:LYN
Last Name:HITCHENS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 E SELDON LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-3307
Mailing Address - Country:US
Mailing Address - Phone:302-547-6564
Mailing Address - Fax:
Practice Address - Street 1:1317 3RD AVE FL 9
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2963
Practice Address - Country:US
Practice Address - Phone:212-439-1596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
051838-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist