Alexandra King

Individual provider Active NPI Occupational Therapist · Ortonville, MN

NPI 1780049973 · NPPES record last updated Feb 10, 2017

Key facts

NPI
1780049973
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1420 (ND)
Practice address
309 Washington Ave
Ortonville, MN 56278-4840
Phone
(320) 839-4090
NPI assigned
Dec 15, 2015
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)
Yes

State licenses

LicenseStateTypeSpecialty
1420NDMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1420 ND Yes

Addresses

Primary practice location

309 Washington Ave
Ortonville, MN 56278-4840

Mailing address

2829 University Drive S Ste 202
Fargo, ND 58013-4840
Phone (701) 478-7868

Other names

  • Alexandra Marvel Former name

Other providers in Ortonville, MN

All providers in Ortonville, MN · Occupational Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.