Provider Demographics
NPI:1548833379
Name:ALEXANDER, ABIGAIL (PT, DPT)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:ALEXANDER
Suffix:
Gender:F
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 1:411 ROUND HILL RD
Mailing Address - Street 2:
Mailing Address - City:SAINT DAVIDS
Mailing Address - State:PA
Mailing Address - Zip Code:19087-4737
Mailing Address - Country:US
Mailing Address - Phone:610-733-1602
Mailing Address - Fax:
Practice Address - Street 1:411 ROUND HILL RD
Practice Address - Street 2:
Practice Address - City:SAINT DAVIDS
Practice Address - State:PA
Practice Address - Zip Code:19087-4737
Practice Address - Country:US
Practice Address - Phone:610-733-1602
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT026127225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist