Individual
MR. ROBERT CHARLES ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
3100 WASHINGTON RD, KENOSHA, WI 53144-1604
(262) 658-4622
Mailing address
2801 15TH AVE, SOUTH MILWAUKEE, WI 53172-3029
(414) 571-0010
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1241-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40697800
—
WI
Enumeration date
04/11/2008
Last updated
04/11/2008
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