MEDICARE: ALEXANDRA C OLIVO DPT

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	225100000X	Physical Therapist	PT025254	PA

General Provider Information

NPI Number	:	1174937023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA C OLIVO DPT

Provider Business Mailing Address
First Line	:	1530 HAMILTON RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-2028
Country	:	US
Telephone Number	:	412-437-3001
Fax Number	:	412-437-3079

Provider Business Practice Location Address
First Line	:	1530 HAMILTON RD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15234-2028
Country	:	US
Telephone Number	:	412-437-3001
Fax Number	:	412-437-3079

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

Provider Enumeration Date	:	06/19/2014
Last Update Date	:	10/08/2020

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