Provider Demographics
NPI:1851079404
Name:ALEXANDER, ASHTIN JUNE
Entity Type:Individual
Prefix:MRS
First Name:ASHTIN
Middle Name:JUNE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16190 DEER BUCK RUN
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:LA
Mailing Address - Zip Code:70772-3830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1013 CRESWELL LN
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-5821
Practice Address - Country:US
Practice Address - Phone:337-948-3657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist