Active NPIIndividual providerSole proprietor

Alexis Dejianne, MOT, OTR/L

Occupational Therapist, Pediatrics in Fair Haven, New Jersey

NPI Number1730470733
Practice location
125 Linden Dr, Fair Haven, NJ 07704-3536
Fax
—
Last updated
April 25, 2011

Alexis Dejianne is an Occupational Therapist, Pediatrics based in Fair Haven, NJ. Alexis Dejianne practices in Fair Haven, NJ and has the professional credentials of MOT, OTR/L. The NPI Number for Alexis Dejianne is 1730470733 and holds a License No. 46TR00334400 (NJ). The current practice location address for Alexis Dejianne is 125 Linden Dr, Fair Haven, NJ 07704-3536 and can be reached out via phone at 201-320-8873.

Provider Profile Details

NPI Number
1730470733
Provider Name
Alexis Dejianne
Credential
MOT, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
125 Linden Dr, Fair Haven, NJ 07704-3536
Phone Number
201-320-8873
Primary Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2011
Last Update Date
April 25, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
125 Linden Dr
Fair Haven, NJ 07704-3536
Zip
07704-3536
Phone Number
201-320-8873
Fair Haven, NJ 07704Get directions →

Provider Business Mailing Address Details

Address
125 Linden Dr
Fair Haven, NJ 07704-3536
City
Fair Haven
State
NJ
Zip
07704-3536
Phone Number
201-320-8873

License Information

License Number
46TR00334400
License State
NJ
Taxonomy
Occupational Therapist, Pediatrics · 225XP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Alexis Dejianne, MOT, OTR/L?

The NPI number of Alexis Dejianne, MOT, OTR/L is 1730470733. It was assigned on April 25, 2011 and is currently active in the NPPES registry.

What is the specialty of Alexis Dejianne, MOT, OTR/L?

Alexis Dejianne, MOT, OTR/L is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X), licensed in NJ under license number 46TR00334400.

Where does Alexis Dejianne, MOT, OTR/L practice?

The practice location is 125 Linden Dr, Fair Haven, NJ 07704-3536. The office can be reached at 201-320-8873 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730470733 directly on the NPPES registry website.

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