MEDICARE: ALEXANDRA GUAJARDO

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	225X00000X	Occupational Therapist	117839	TX

General Provider Information

NPI Number	:	1750828349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA GUAJARDO

Provider Business Mailing Address
First Line	:	UNIT 33100
Second Line	:
City	:	APO
State	:	AE
Zip	:	09180-3100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	UNIT 33100
Second Line	:
City	:	APO
State	:	AE
Zip	:	09180-3100
Country	:	US
Telephone Number	:	314-590-8326
Fax Number	:

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

Provider Enumeration Date	:	01/20/2017
Last Update Date	:	05/14/2026

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Directions to “ ALEXANDRA GUAJARDO ” Practice Location

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