Provider Demographics
NPI:1275063489
Name:ROEMER, ALEXANDRA CATHERINE (PT,DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:CATHERINE
Last Name:ROEMER
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 PALMETTO HEALTH PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-1762
Mailing Address - Country:US
Mailing Address - Phone:803-296-9203
Mailing Address - Fax:
Practice Address - Street 1:300 PALMETTO HEALTH PKWY STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-1762
Practice Address - Country:US
Practice Address - Phone:803-296-9203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86542081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine