Provider Demographics
NPI:1205238920
Name:GOBLE, ALEXANDRA R (DPT)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:R
Last Name:GOBLE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1750 5TH AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2610
Mailing Address - Country:US
Mailing Address - Phone:717-747-8350
Mailing Address - Fax:717-718-3150
Practice Address - Street 1:1855 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-848-4800
Practice Address - Fax:717-718-3150
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist