Provider Demographics
NPI:1437432598
Name:HASKINS, ALEXANDER (DPT)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:
Last Name:HASKINS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 HARTMAN BRIDGE RD
Mailing Address - Street 2:STRASBURG SQUARE
Mailing Address - City:RONKS
Mailing Address - State:PA
Mailing Address - Zip Code:17572-9508
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:340 HARTMAN BRIDGE RD
Practice Address - Street 2:STRASBURG SQUARE
Practice Address - City:RONKS
Practice Address - State:PA
Practice Address - Zip Code:17572-9508
Practice Address - Country:US
Practice Address - Phone:570-842-9323
Practice Address - Fax:570-842-9362
Is Sole Proprietor?:No
Enumeration Date:2011-09-26
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305206973225100000X
PAPT022547225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist