Provider Demographics
NPI:1588216246
Name:SCHREIBER, ALEXA ROSE (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:ROSE
Last Name:SCHREIBER
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 POST OAK CT
Mailing Address - Street 2:
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3482
Mailing Address - Country:US
Mailing Address - Phone:267-614-8455
Mailing Address - Fax:
Practice Address - Street 1:1315 POST OAK CT
Practice Address - Street 2:
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3482
Practice Address - Country:US
Practice Address - Phone:267-614-8455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016288225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist