Doctor Name: | CHARLES JASON ALEXANDER |
NPI Number: | 1306185129 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | PTL0012060 |
Business Practice Address: | 1 Mercado St Suite 201 Durango, CO - 813017306 |
Business Phone Number: | 9703850644 |
Business Fax Number: | 9703850620 |
Mailing Address: | 1 Mercado St, Suite 201 DURANGO |
State: | CO |
Postal Code: | 813017306 |
Phone Number: | 9703850644 |
Fax Number: | 9703850620 |
NPI Enumeration Date: | 02/14/2013 |
NPI Last Update Date: | 02/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTL0012060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |