Provider Demographics
NPI:1124475652
Name:STRATTON, ALEXANDRIA PIAGE (PT)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:PIAGE
Last Name:STRATTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:STRATTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:141 ATRIUM WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6301
Mailing Address - Country:US
Mailing Address - Phone:803-658-4073
Mailing Address - Fax:803-329-1696
Practice Address - Street 1:2460 INDIA HOOK RD STE 107
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3531
Practice Address - Country:US
Practice Address - Phone:803-658-4073
Practice Address - Fax:803-329-1696
Is Sole Proprietor?:No
Enumeration Date:2016-05-13
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV390200000X
SCPT.10890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program