Provider Demographics
NPI:1598585408
Name:HWANG, ALEXANDRIA (OTD)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S MILLVALE AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1666
Mailing Address - Country:US
Mailing Address - Phone:917-283-8786
Mailing Address - Fax:
Practice Address - Street 1:142 CLEARVIEW CIR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1565
Practice Address - Country:US
Practice Address - Phone:724-285-5351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020217225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist