Provider Demographics
NPI:1629723093
Name:DASPIT, ALEXANDRA (MOT, OTR, LOTR)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:DASPIT
Suffix:
Gender:F
Credentials:MOT, OTR, LOTR
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:ELISABETH
Other - Last Name:BRUNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR, OTR/L
Mailing Address - Street 1:2000 COVINGTON CTR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-2979
Mailing Address - Country:US
Mailing Address - Phone:985-237-1921
Mailing Address - Fax:
Practice Address - Street 1:2000 COVINGTON CTR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-2979
Practice Address - Country:US
Practice Address - Phone:985-237-1921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120054225X00000X
LA329740225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist