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NPI Code Detail

MEDICARE: ALEXA R ROSSI COTA/L

MEDICARE: ALEXA R ROSSI COTA/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
1224Z00000XOccupational Therapy Assistant1943CT
2224Z00000XOccupational Therapy Assistant4396MA

General Provider Information

NPI Number : 1316501570
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA R ROSSI COTA/L
Provider Business Mailing Address
First Line : 81 WESTFORD AVE
Second Line :
City : STAFFORD SPRINGS
State : CT
Zip : 06076-1633
Country : US
Telephone Number : 860-634-3469
Fax Number :
Provider Business Practice Location Address
First Line : 546 CHICOPEE ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-2148
Country : US
Telephone Number : 413-536-2540
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2019
Last Update Date : 04/23/2019

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Directions to “ ALEXA R ROSSI COTA/L” Practice Location

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