Alexandra Charlene Orr, ATC
Specialist/Technologist, Athletic Trainer in Springfield, MO. Individual provider (NPI-1).
NPI number1679039655
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1679039655
- Entity type
- Individual (NPI-1)
- Name
- Alexandra Charlene Orr
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Feb 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 2018027659 | MO | Yes |
Practice location
1111 N Glenstone AveSpringfield, MO 65802-2125
Phone 309-846-1902
Mailing address
2015 W University St # 407Springfield, MO 65807-7824
Phone 309-846-1902
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