Individual
ALEXANDRA FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
725 GALLUP RD, FORT COLLINS, CO 80521-3101
(913) 742-1327
Mailing address
725 GALLUP RD, FORT COLLINS, CO 80521-3101
(913) 742-1327
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0006221
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113467986
BUSINESS/GROUP NPI
—
05
—
25135058
—
CO
Enumeration date
10/29/2019
Last updated
03/13/2024
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