Most Relevant Information
Provider Data
| NPI Number: | 1003285313 |
| Provider Name: | ALEX HOUGHTALEN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 039069 |
Most Important Dates
| Enumeration Date: | 09/16/2015 |
| Last Updated: | 09/16/2015 |
Provider Practice Location
1900 ROUTE 31
SUITE 12
MACEDON
NY
145028943
Practice Location Phone/Fax
| Phone: | 3159864655 |
| Fax: |
Provider Mailing Location
1900 ROUTE 31
SUITE 12
MACEDON
NY
145028943
Provider Mailing Phone/Fax
| Phone: | 3159864655 |
| Fax: |