National Provider Identifier
Alexa Haberer, OTR/L
Alexa Haberer, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Buffalo, NY and a listed phone number of (716) 829-9721.
Profile Overview
- NPI
- 1881403111
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- January 02, 2025
- Last Updated
- April 22, 2025
Practice Location
- 51 Saint Johns Parkside St
- Buffalo, NY 14210-2515
Phone: (716) 829-9721
Mailing Address
- 6710 Grissom Ct
- Derby, NY 14047-9563
Specialties
- Pediatric Occupational Therapist (225XP0200X)
Full Record
- NPI
- 1881403111
- Entity Type
- Individual
- Last Name
- Haberer
- First Name
- Alexa
- Credential
- OTR/L
- Mailing Street Address
- 6710 Grissom Ct
- Mailing City
- Derby
- Mailing State
- NY
- Mailing ZIP Code
- 14047-9563
- Mailing Country
- US
- Mailing Phone
- (716) 829-9721
- Practice Street Address
- 51 Saint Johns Parkside St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2515
- Practice Country
- US
- Practice Phone
- (716) 829-9721
- Enumeration Date
- January 02, 2025
- Last Updated
- April 22, 2025
- Deactivation Date
- March 28, 2025
- Reactivation Date
- April 21, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 22, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)