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NPI Code Detail

MEDICARE: MRS. KASHALA ALEXANDER OTR/L

MEDICARE: MRS. KASHALA ALEXANDER OTR/L
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
1225X00000XOccupational Therapist7659CA

General Provider Information

NPI Number : 1437548492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASHALA ALEXANDER OTR/L
Provider Business Mailing Address
First Line : 8167 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4314
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8167 W 3RD ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-4314
Country : US
Telephone Number : 323-655-2023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2015
Last Update Date : 01/14/2015

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