Individual
ALEXA LAGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
711 TROY SCHENECTADY RD STE 216, LATHAM, NY 12110-2461
(518) 786-1665
(518) 785-0056
Mailing address
711 TROY SCHENECTADY RD STE 209, LATHAM, NY 12110-2481
(518) 786-1667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025959
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07874702
—
NY
Enumeration date
07/28/2021
Last updated
07/01/2024
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