National Provider Identifier
Alexis Elizabeth Frederick, OTR/L
Alexis Elizabeth Frederick, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 249-7094.
Profile Overview
- NPI
- 1508580648
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- October 03, 2022
- Last Updated
- September 03, 2024
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 249-7094
Mailing Address
- 317 Cedar Pl Apt 2
- East Rochester, NY 14445-1501
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1508580648
- Entity Type
- Individual
- Last Name
- Frederick
- First Name
- Alexis
- Middle Name
- Elizabeth
- Credential
- OTR/L
- Mailing Street Address
- 317 Cedar Pl Apt 2
- Mailing City
- East Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14445-1501
- Mailing Country
- US
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 249-7094
- Enumeration Date
- October 03, 2022
- Last Updated
- September 03, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)