Healthcare Provider Details

I. General information

NPI: 1821726142
Provider Name (Legal Business Name): ALEXANDRA FRANCESCA O'DONNELL COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2022
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9200 BIDDULPH RD
BROOKLYN OH
44144-2614
US

IV. Provider business mailing address

29415 WALDENSA AVE
WICKLIFFE OH
44092-2060
US

V. Phone/Fax

Practice location:
  • Phone: 216-485-8100
  • Fax:
Mailing address:
  • Phone: 440-409-9475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA008274
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: