Provider Demographics
NPI:1043788185
Name:NACHTMAN, ALEXANDRA S (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:S
Last Name:NACHTMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 UNION SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:NEW HOPE
Mailing Address - State:PA
Mailing Address - Zip Code:18938-1366
Mailing Address - Country:US
Mailing Address - Phone:215-862-1648
Mailing Address - Fax:215-862-1625
Practice Address - Street 1:210 UNION SQUARE DR
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:PA
Practice Address - Zip Code:18938-1366
Practice Address - Country:US
Practice Address - Phone:215-862-1648
Practice Address - Fax:215-862-1625
Is Sole Proprietor?:No
Enumeration Date:2018-11-07
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT027268225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist