Provider Demographics
NPI:1841235496
Name:TOCIO, ALEXANDRA (OT/CHT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:TOCIO
Suffix:
Gender:F
Credentials:OT/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8259 WICKER AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHN
Mailing Address - State:IN
Mailing Address - Zip Code:46373-8878
Mailing Address - Country:US
Mailing Address - Phone:219-365-6560
Mailing Address - Fax:219-365-6561
Practice Address - Street 1:1901 PHOENIX BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-5588
Practice Address - Country:US
Practice Address - Phone:404-355-6548
Practice Address - Fax:770-996-7299
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA67BBBQRMedicare PIN