Provider Demographics
NPI:1679987945
Name:ROJAS, ALEXANDRA (PT, DPT, ATC, CSCS)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:
Credentials:PT, DPT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 DRAKE LN
Mailing Address - Street 2:
Mailing Address - City:WEST LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03784-1023
Mailing Address - Country:US
Mailing Address - Phone:720-984-6423
Mailing Address - Fax:
Practice Address - Street 1:100 ARBORETUM LN
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-3320
Practice Address - Country:US
Practice Address - Phone:802-359-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5639225100000X
2255A2300X
VT040.0134913225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer