Provider Demographics
NPI:1225431174
Name:CROSS, ALEXA LEIGH (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXA
Middle Name:LEIGH
Last Name:CROSS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 CHAMBER PLAZA
Mailing Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Mailing Address - City:CHARLEROI
Mailing Address - State:PA
Mailing Address - Zip Code:15022-1607
Mailing Address - Country:US
Mailing Address - Phone:724-489-8096
Mailing Address - Fax:724-483-9373
Practice Address - Street 1:301 CHAMBER PLAZA
Practice Address - Street 2:DIVERSIFIED HUMAN SERVICES, INC.
Practice Address - City:CHARLEROI
Practice Address - State:PA
Practice Address - Zip Code:15022-1607
Practice Address - Country:US
Practice Address - Phone:724-489-8096
Practice Address - Fax:724-483-9373
Is Sole Proprietor?:No
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC013450225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist