MEDICARE: ALEXANDRA W FERT

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	9346	NC

General Provider Information

NPI Number	:	1811320344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA W FERT

Provider Business Mailing Address
First Line	:	312 BLEDSOE AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27601-2606
Country	:	US
Telephone Number	:	845-625-4849
Fax Number	:

Provider Business Practice Location Address
First Line	:	312 BLEDSOE AVE
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27601-2606
Country	:	US
Telephone Number	:	845-625-4849
Fax Number	:

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

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	12/08/2025

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