MEDICARE: MYRNA ALEJANDRO-TORRES

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	225200000X	Physical Therapy Assistant		OH

General Provider Information

NPI Number	:	1083021463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MYRNA ALEJANDRO-TORRES

Provider Business Mailing Address
First Line	:	3025 OAK STREET EXT
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-4614
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3025 OAK STREET EXT
Second Line	:
City	:	YOUNGSTOWN
State	:	OH
Zip	:	44505-4614
Country	:	US
Telephone Number	:	330-506-1367
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2014
Last Update Date	:	07/17/2014

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Directions to “ MYRNA ALEJANDRO-TORRES ” Practice Location

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