MEDICARE: AIMEE ALEXANDRA LAGUARDIA OTD, 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
1	225X00000X	Occupational Therapist	122175	TX

General Provider Information

NPI Number	:	1912664996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE ALEXANDRA LAGUARDIA OTD, OTR/L

Provider Business Mailing Address
First Line	:	614 S. BUSINESS IH 35 STE C
Second Line	:	PMB #53
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1441 CONSTITUTION BLVD
Second Line	:
City	:	SALINAS
State	:	CA
Zip	:	93906-3100
Country	:	US
Telephone Number	:	831-755-4111
Fax Number	:

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

Provider Enumeration Date	:	11/24/2021
Last Update Date	:	01/05/2026

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