Provider Demographics
NPI:1942686092
Name:BECKETT-RUMBERGER, ALICE (PT)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:BECKETT-RUMBERGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:BECKETT-WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9996 PARKLAND DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9693
Mailing Address - Country:US
Mailing Address - Phone:724-880-4444
Mailing Address - Fax:724-934-6898
Practice Address - Street 1:9996 PARKLAND DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9693
Practice Address - Country:US
Practice Address - Phone:724-880-4444
Practice Address - Fax:724-934-6898
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT00676L1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist