Individual ProviderAlexandra ShulleetaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address10530 Spotsylvania Ave, Fredericksburg, VA 22408-2693(540) 891-4485PECOS EnrollmentBased on the most recent information from CMS, provider Alexandra Shulleeta does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1053821652Provider TypeIndividualFull NameShulleeta, AlexandraCredentialDPTGenderFemaleSole ProprietorYesEnumeration Date10/9/2017Last Updated10/9/2017Contact InformationPractice LocationPractice Address10530 Spotsylvania Ave, Fredericksburg, VA 22408-2693Phone(540) 891-4485FaxUnlisted FaxMailing LocationMailing Address9518 Skyview Dr, Richmond, VA 23229-3938PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense2305211083Virginia