Tyra Alexander

Individual provider Active NPI Occupational Therapist · Canton, MA

NPI 1619753399 · NPPES record last updated Sep 7, 2023

Key facts

NPI
1619753399
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
603 Neponset St
Canton, MA 02021-1981
Phone
(781) 255-1817
NPI assigned
Sep 7, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

603 Neponset St
Canton, MA 02021-1981

Mailing address

603 Neponset St
Canton, MA 02021-1981
Phone (781) 255-1817

Other providers in Canton, MA

All providers in Canton, MA · Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.