Individual ProviderAlexander W DragonukPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address910 Frederick Rd, Catonsville, MD 21228-4516(410) 644-1880PECOS EnrollmentBased on the most recent information from CMS, provider Alexander W Dragonuk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285989533Provider TypeIndividualFull NameDragonuk, Alexander WCredentialDPTGenderMaleSole ProprietorNoEnumeration Date7/23/2012Last Updated2/21/2023Contact InformationPractice LocationPractice Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Mailing LocationMailing Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense24074Maryland