Healthcare Provider Details

I. General information

NPI: 1477282861
Provider Name (Legal Business Name): ALEXANDRA J ROSS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2022
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9377 E BELL RD STE 349
SCOTTSDALE AZ
85260-1502
US

IV. Provider business mailing address

PO BOX 306556
NASHVILLE TN
37230-6556
US

V. Phone/Fax

Practice location:
  • Phone: 602-512-8434
  • Fax:
Mailing address:
  • Phone: 865-243-8153
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number9443
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: