Provider Demographics
NPI:1811469455
Name:MYERS, ALEXANDRA F (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:F
Last Name:MYERS
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 1:14404 N DAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-8535
Mailing Address - Country:US
Mailing Address - Phone:509-869-4839
Mailing Address - Fax:
Practice Address - Street 1:14404 N DAKOTA ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-8535
Practice Address - Country:US
Practice Address - Phone:509-869-4839
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-007533225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist