Healthcare Provider Details

I. General information

NPI: 1194263319
Provider Name (Legal Business Name): LAURA ALEXCITES COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8325 LENEXA DR SUITE 150
LENEXA KS
66214-1654
US

IV. Provider business mailing address

8325 LENEXA DR SUITE 150
LENEXA KS
66214-1654
US

V. Phone/Fax

Practice location:
  • Phone: 913-213-3985
  • Fax: 913-652-9198
Mailing address:
  • Phone: 913-213-3985
  • Fax: 913-652-9198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number18-00968
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: