Provider Demographics
NPI:1235652413
Name:POIRIER, ALESSANDRA B (AT)
Entity Type:Individual
Prefix:MISS
First Name:ALESSANDRA
Middle Name:B
Last Name:POIRIER
Suffix:
Gender:F
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5464 HAYDEN MILL LN APT 288
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7582
Mailing Address - Country:US
Mailing Address - Phone:954-842-6153
Mailing Address - Fax:
Practice Address - Street 1:5464 HAYDEN MILL LN APT 288
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7582
Practice Address - Country:US
Practice Address - Phone:954-842-6153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0054312255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer