Healthcare Provider Details

I. General information

NPI: 1427952712
Provider Name (Legal Business Name): ALEXANDRIA PRICE OTD,OTR/L,LSVT-BIG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1282 UNION AVE
MEMPHIS TN
38104-3414
US

IV. Provider business mailing address

5190 PARK AVE STE 200
MEMPHIS TN
38119-3646
US

V. Phone/Fax

Practice location:
  • Phone: 901-722-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: