Provider Demographics
NPI:1881131555
Name:CHAPA, ALEXANDRA NICOLE (REHAB TECHNICIAN)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:NICOLE
Last Name:CHAPA
Suffix:
Gender:F
Credentials:REHAB TECHNICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:528 W CHICAGO ST
Mailing Address - Street 2:APT 13
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-8411
Mailing Address - Country:US
Mailing Address - Phone:517-079-0700
Mailing Address - Fax:517-279-6555
Practice Address - Street 1:528 W CHICAGO ST
Practice Address - Street 2:APT 13
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-8411
Practice Address - Country:US
Practice Address - Phone:517-079-0700
Practice Address - Fax:517-279-6555
Is Sole Proprietor?:No
Enumeration Date:2017-01-19
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner