Alexandra Nicole Elicone, PT, DPT

NPI #1730832429 in Macomb, Michigan

Provider Information

NPI Number: 1730832429
Entity Type: Individual
Name: Alexandra Nicole Elicone, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 2, 2022
Last Updated: Feb 2, 2022

Practice Location

Address: 15959 HALL RD STE 410
City: Macomb
State: Michigan
ZIP Code: 48044-5365
Phone: (586) 416-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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