Provider Demographics
NPI:1902513724
Name:BERKAVICH, ALEXANDRIA R (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALEXANDRIA
Middle Name:R
Last Name:BERKAVICH
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MRS
Other - First Name:ALEXANDRIA
Other - Middle Name:R
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:3575 SPRUCE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:CLYMER
Mailing Address - State:PA
Mailing Address - Zip Code:15728-8540
Mailing Address - Country:US
Mailing Address - Phone:724-599-5849
Mailing Address - Fax:
Practice Address - Street 1:1515 WAYNE AVE
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-4702
Practice Address - Country:US
Practice Address - Phone:724-349-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-01
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018846225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist