Provider Demographics
NPI:1164729208
Name:SCHENK, ALEXA J (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ALEXA
Middle Name:J
Last Name:SCHENK
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23A PHYSICAL THERAPY
Mailing Address - Street 2:PERRY POINT VAMC
Mailing Address - City:PERRY POINT
Mailing Address - State:MD
Mailing Address - Zip Code:21092
Mailing Address - Country:US
Mailing Address - Phone:410-642-2411
Mailing Address - Fax:
Practice Address - Street 1:23A PHYSICAL THERAPY
Practice Address - Street 2:PERRY POINT VAMC
Practice Address - City:PERRY POINT
Practice Address - State:MD
Practice Address - Zip Code:21092
Practice Address - Country:US
Practice Address - Phone:410-642-2411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant