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1902888993

NPI Code Detail

MEDICARE: DEBORAH MARIE ALEXANDER PT, DPT

MEDICARE: DEBORAH MARIE ALEXANDER PT, 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	DAPT000476	PA
2	225100000X	Physical Therapist	J10001967	DE
3	2255A2300X	Athletic Trainer	RT001764A	PA
4	225100000X	Physical Therapist	PT005735L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	906597	OTHER	PA	AETNA
2	23569	OTHER	PA	INTER COUNTY
3	AL841795	OTHER	PA	BCBS OF PA

General Provider Information

NPI Number	:	1902888993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH MARIE ALEXANDER PT, DPT

Provider Business Mailing Address
First Line	:	1650 LYNDON FARM CT STE 300
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40223-5005
Country	:	US
Telephone Number	:	856-677-4000
Fax Number	:	856-234-3014

Provider Business Practice Location Address
First Line	:	1075 VIRGINIA DR STE 200
Second Line	:
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-3108
Country	:	US
Telephone Number	:	215-619-4545
Fax Number	:	215-619-4555

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

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	12/18/2023

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Directions to “ DEBORAH MARIE ALEXANDER PT, DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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