Individual
ALEXA RAE BEVACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 692-4305
Mailing address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012573
PA
Other
Enumeration date
10/16/2012
Last updated
03/24/2021
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