Healthcare Provider Details

I. General information

NPI: 1396141651
Provider Name (Legal Business Name): ALEXANDRIA HUTCHISON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2014
Last Update Date: 01/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 SAINT VINCENT'S DRIVE BUILDING 3, SUITE 200
BIRMINGHAM AL
35205
US

IV. Provider business mailing address

833 SAINT VINCENTS DRIVE BUILDING 3, SUITE 403
BIRMINGHAM AL
35205-1614
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-0447
  • Fax: 205-939-0418
Mailing address:
  • Phone: 59-390-4472
  • Fax: 52-939-0418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number004312
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: