MEDICARE: ALEXANDRA ISELIN MSOTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT.008435	OH

General Provider Information

NPI Number	:	1306200365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA ISELIN MSOTR/L

Provider Business Mailing Address
First Line	:	2233 MAPLEWOOD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2815
Country	:	US
Telephone Number	:	440-829-2117
Fax Number	:

Provider Business Practice Location Address
First Line	:	2233 MAPLEWOOD RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2815
Country	:	US
Telephone Number	:	440-829-2117
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	01/12/2026

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