Provider Demographics
NPI:1588137863
Name:ALEXANDER REHABILITATION COMPANY LLC
Entity type:Organization
Organization Name:ALEXANDER REHABILITATION COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEROMEE
Authorized Official - Middle Name:CAMERON
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, CCI
Authorized Official - Phone:469-209-6870
Mailing Address - Street 1:115 FM 2453 STE D
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-7037
Mailing Address - Country:US
Mailing Address - Phone:469-209-6870
Mailing Address - Fax:469-340-0007
Practice Address - Street 1:115 FM 2453 STE D
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-7037
Practice Address - Country:US
Practice Address - Phone:469-209-6870
Practice Address - Fax:469-340-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty