MEDICARE: ALEXANDR KOSTENKO JR. 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	1337221	TX

General Provider Information

NPI Number	:	1922606805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDR KOSTENKO JR. PT, DPT

Provider Business Mailing Address
First Line	:	1339 LAMAR SQUARE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2209
Country	:	US
Telephone Number	:	512-443-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	1339 LAMAR SQUARE DR
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78704-2209
Country	:	US
Telephone Number	:	512-443-5777
Fax Number	:

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

Provider Enumeration Date	:	10/13/2020
Last Update Date	:	10/13/2020

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