Healthcare Provider Details

I. General information

NPI: 1508281023
Provider Name (Legal Business Name): ALEXANDRA MARIE HODSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2014
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 DELAWARE AVE
MENDOTA HEIGHTS MN
55118-4338
US

IV. Provider business mailing address

1897 DELAWARE AVE
MENDOTA HEIGHTS MN
55118-4338
US

V. Phone/Fax

Practice location:
  • Phone: 651-403-7000
  • Fax:
Mailing address:
  • Phone: 651-403-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number104452
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: