Individual
DONALD ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
306 E NIZHONI BLVD, GALLUP, NM 87301-5794
(505) 863-9551
Mailing address
3484 N 100 E, APT 3, WARSAW, IN 46582-7719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
097862
IA
224Z00000X
Occupational Therapy Assistant
4210
NM
224Z00000X
Occupational Therapy Assistant
OTA0000002226
TN
Other
Enumeration date
11/08/2013
Last updated
05/12/2026
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