Healthcare Provider Details

I. General information

NPI: 1679408603
Provider Name (Legal Business Name): ALEXANDRA ZURAWIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 WINDSONG WAY
MCALESTER OK
74501-6336
US

IV. Provider business mailing address

8520 S 36TH TER
FORT SMITH AR
72908-8880
US

V. Phone/Fax

Practice location:
  • Phone: 479-420-7846
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5992
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: