Healthcare Provider Details

I. General information

NPI: 1750291159
Provider Name (Legal Business Name): ALEXANDRA RAE OCHMAN RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1352 SPRINGWOOD TRCE SE
WARREN OH
44484-3143
US

IV. Provider business mailing address

1352 SPRINGWOOD TRCE SE
WARREN OH
44484-3143
US

V. Phone/Fax

Practice location:
  • Phone: 330-240-9585
  • Fax:
Mailing address:
  • Phone: 330-240-9585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberLD.12070
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: