NPI 1497228225

Alexa Mammen, DPT

Practitioner Physical Therapist Fulton, MD

Practice location

Address: 11830 W Market Pl, Fulton, MD 20759-2431
Phone: (667) 205-4290
Mailing address: 11830 W Market Pl STE N-Q, Fulton, MD 20759-2431

Registered specialties (2)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 28647 (MD)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1497228225
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jan 2019
Record last updated: 12 Apr 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.