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NPI Code Detail

MEDICARE: BLAIRE ALYSSA BURKHOLDER DPT

MEDICARE: BLAIRE ALYSSA BURKHOLDER 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
1225100000XPhysical TherapistPT027873PA

General Provider Information

NPI Number : 1215582515
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLAIRE ALYSSA BURKHOLDER DPT
Provider Business Mailing Address
First Line : PO BOX 392573
Second Line :
City : PITTSBURGH
State : PA
Zip : 15251-9573
Country : US
Telephone Number : 717-263-5147
Fax Number : 717-263-3454
Provider Business Practice Location Address
First Line : 142 FRANKLIN FARM LN
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8901
Country : US
Telephone Number : 717-263-5147
Fax Number : 717-263-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 01/16/2025

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