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NPI Code Detail

MEDICARE: ALEXANDRA BEITER

MEDICARE:   ALEXANDRA  BEITER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical TherapistMD

General Provider Information

NPI Number : 1518892207
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA BEITER
Provider Business Mailing Address
First Line : 3 REGESTER AVE
Second Line :
City : BALTIMORE
State : MD
Zip : 21212-1537
Country : US
Telephone Number : 843-810-9060
Fax Number :
Provider Business Practice Location Address
First Line : 115 SUDBROOK LN STE A
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-4184
Country : US
Telephone Number : 443-918-5575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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