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Individual

ALEXANDRA A KOREIVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
706 W BEN WHITE BLVD STE A150, AUSTIN, TX 78704-8128
(512) 441-5100
Mailing address
48 ACORN ST, STANHOPE, NJ 07874-3423
(973) 903-6541

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120290
TX

Other

Enumeration date
10/21/2019
Last updated
10/21/2019
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