Provider Demographics
NPI:1700102654
Name:MEYERSON, ALEKSANDRA (DPT)
Entity Type:Individual
Prefix:
First Name:ALEKSANDRA
Middle Name:
Last Name:MEYERSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 OAKWOOD DR
Mailing Address - Street 2:SUITE 302
Mailing Address - City:PENN VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19072-1061
Mailing Address - Country:US
Mailing Address - Phone:610-909-6105
Mailing Address - Fax:
Practice Address - Street 1:1640 OAKWOOD DR
Practice Address - Street 2:SUITE 302
Practice Address - City:PENN VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19072-1061
Practice Address - Country:US
Practice Address - Phone:610-909-6105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0172442251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports