Healthcare Provider Details

I. General information

NPI: 1073063970
Provider Name (Legal Business Name): ALEXANDRA MORGAN KRAMME OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALEXANDRA SCHWARTZ OTR/L

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 03/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9220 BASS LAKE RD STE 260
NEW HOPE MN
55428-3019
US

IV. Provider business mailing address

640 FAIRMONT ST NE
FRIDLEY MN
55432-1622
US

V. Phone/Fax

Practice location:
  • Phone: 651-633-7875
  • Fax:
Mailing address:
  • Phone: 651-331-8457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number105168
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number105168
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: