Provider Demographics
NPI:1932733045
Name:ALEXANDER, JANET ALVAREZ
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ALVAREZ
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1591
Mailing Address - Street 2:
Mailing Address - City:FLIPPIN
Mailing Address - State:AR
Mailing Address - Zip Code:72634-1591
Mailing Address - Country:US
Mailing Address - Phone:870-321-4177
Mailing Address - Fax:
Practice Address - Street 1:300 GOOD SAMARITAN DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-5813
Practice Address - Country:US
Practice Address - Phone:870-321-4177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-27
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant