Basic Information
Provider Information
NPI: 1417102096
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARKOVITZ
FirstName: ALINA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROSENBERG
OtherFirstName: ALINA
OtherMiddleName:  
OtherNamePrefix: MRS.
OtherNameSuffix:  
OtherCredential: DPT
OtherLastNameType: 5
Mailing Information
Address1: 109 COACHSIDE DR
Address2:  
City: CANONSBURG
State: PA
PostalCode: 153175035
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1300 OXFORD DR
Address2: SUITE 1F
City: BETHEL PARK
State: PA
PostalCode: 151021896
CountryCode: US
TelephoneNumber: 4128518850
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/24/2008
LastUpdateDate: 11/16/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT019625PAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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