Individual
ALEXANDRA IRVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
601 JOHN ST STE M-206C, KALAMAZOO, MI 49007-5359
(269) 349-8601
Mailing address
9192 EL DORADO AVE, KALAMAZOO, MI 49009-6715
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5237
SC
Other
Enumeration date
05/04/2018
Last updated
06/24/2021
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