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NPI Code Detail

MEDICARE: ALEXANDRA DASPIT MOT, OTR, LOTR

MEDICARE: ALEXANDRA DASPIT MOT, OTR, LOTR
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 Therapist120054TX
2225X00000XOccupational Therapist329740LA

General Provider Information

NPI Number : 1629723093
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA DASPIT MOT, OTR, LOTR
Provider Business Mailing Address
First Line : 2000 COVINGTON CTR
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2979
Country : US
Telephone Number : 985-237-1921
Fax Number :
Provider Business Practice Location Address
First Line : 2000 COVINGTON CTR
Second Line :
City : COVINGTON
State : LA
Zip : 70433-2979
Country : US
Telephone Number : 985-237-1921
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2022
Last Update Date : 05/04/2022

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