MEDICARE: ALESSANDRA KESTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225CX0006X	Orientation and Mobility Training Rehabilitation Counselor	22784	OH

General Provider Information

NPI Number	:	1225817984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALESSANDRA KESTER

Provider Business Mailing Address
First Line	:	117 WETHINGTON WAY
Second Line	:
City	:	TRAVELERS REST
State	:	SC
Zip	:	29690
Country	:	US
Telephone Number	:	954-684-2662
Fax Number	:

Provider Business Practice Location Address
First Line	:	1180 COLUMBIA AVE
Second Line	:
City	:	IRMO
State	:	SC
Zip	:	29063-2890
Country	:	US
Telephone Number	:	803-627-8847
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2023
Last Update Date	:	09/22/2023

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