Provider Demographics
NPI:1497285175
Name:KOBRIN, ALEXANDRA NICOLE FRISSELLI (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NICOLE FRISSELLI
Last Name:KOBRIN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8005
Mailing Address - Country:US
Mailing Address - Phone:321-842-8307
Mailing Address - Fax:321-842-7464
Practice Address - Street 1:7300 SANDLAKE COMMONS BLVD STE 120
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8005
Practice Address - Country:US
Practice Address - Phone:321-842-8307
Practice Address - Fax:321-842-7464
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
FLOT22253225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist