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NPI Code Detail

MEDICARE: ALEXIS JANE BOGLIVI OTR/L

MEDICARE: ALEXIS JANE BOGLIVI 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 TherapistOT.OT.70095604WA

General Provider Information

NPI Number : 1770437444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS JANE BOGLIVI OTR/L
Provider Business Mailing Address
First Line : 9514 4TH ST NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-1937
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9514 4TH ST NE
Second Line :
City : LAKE STEVENS
State : WA
Zip : 98258-1937
Country : US
Telephone Number : 425-397-2327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2026
Last Update Date : 02/20/2026

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Directions to “ ALEXIS JANE BOGLIVI OTR/L” Practice Location

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