MEDICARE: ALPHA REHABILITATION INC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1932164365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPHA REHABILITATION INC

Provider Business Mailing Address
First Line	:	2920 SAINT LAWRENCE AVE
Second Line	:
City	:	READING
State	:	PA
Zip	:	19606-2233
Country	:	US
Telephone Number	:	610-779-7749
Fax Number	:	610-779-4110

Provider Business Practice Location Address
First Line	:	2920 SAINT LAWRENCE AVE
Second Line	:
City	:	READING
State	:	PA
Zip	:	19606-2233
Country	:	US
Telephone Number	:	610-779-7749
Fax Number	:	610-779-4110

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	CHARLES BUCKLAR JR.
Credential	:	DC
Telephone Number	:	610-779-7749

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

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Directions to “ALPHA REHABILITATION INC ” Practice Location

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