National Provider Identifier
Alexis Brea Parker, OTA
Alexis Brea Parker, OTA is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Fairport, NY and a listed phone number of (585) 383-2216.
Profile Overview
- NPI
- 1245547736
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- September 07, 2010
- Last Updated
- October 02, 2023
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 383-2216
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1245547736
- Entity Type
- Individual
- Last Name
- Parker
- First Name
- Alexis
- Middle Name
- Brea
- Name Prefix
- Mrs.
- Credential
- OTA
- Provider Other Last Name
- Wieland
- Provider Other First Name
- Alexis
- Provider Other Middle Name
- Brea
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 383-2216
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 383-2216
- Enumeration Date
- September 07, 2010
- Last Updated
- October 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)