MEDICARE: ALEXANDRA BROOKE FRUHWIRTH OTD

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	225XP0200X	Pediatric Occupational Therapist	OC021074	PA

General Provider Information

NPI Number	:	1831042753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA BROOKE FRUHWIRTH OTD

Provider Business Mailing Address
First Line	:	PO BOX 4
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-0004
Country	:	US
Telephone Number	:	610-662-4372
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 4
Second Line	:
City	:	MACUNGIE
State	:	PA
Zip	:	18062-0004
Country	:	US
Telephone Number	:	610-662-4372
Fax Number	:

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

Provider Enumeration Date	:	02/19/2026
Last Update Date	:	02/20/2026

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