Provider Demographics
NPI:1629545116
Name:WOEHLBRANDT, ALEXANDER SAMUEL (PT, DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:SAMUEL
Last Name:WOEHLBRANDT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 MISSION VALLEY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4409
Mailing Address - Country:US
Mailing Address - Phone:619-291-3400
Mailing Address - Fax:
Practice Address - Street 1:7425 MISSION VALLEY RD STE 201
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-4409
Practice Address - Country:US
Practice Address - Phone:619-291-3400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist