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NPI Code Detail

MEDICARE: ALEXIS MALAINA BLANK OTR L

MEDICARE:   ALEXIS MALAINA BLANK  OTR 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
1225XP0200XPediatric Occupational Therapist056-007635IL

General Provider Information

NPI Number : 1508984816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS MALAINA BLANK OTR L
Provider Business Mailing Address
First Line : 2616 N WISCONSIN ST
Second Line :
City : RACINE
State : WI
Zip : 53402-4436
Country : US
Telephone Number : 262-664-5349
Fax Number :
Provider Business Practice Location Address
First Line : 3109 MOUNT PLEASANT ST
Second Line :
City : RACINE
State : WI
Zip : 53404-1511
Country : US
Telephone Number : 262-635-5600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 05/27/2026

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Directions to “ ALEXIS MALAINA BLANK OTR L” Practice Location

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