Active NPIIndividual provider

Alexandra E Dehertogh, MS, OTR/L

Occupational Therapist in Plymouth, Massachusetts

NPI Number1750840740
Practice location
20 N Park Ave, Plymouth, MA 02360-4090
Fax
—
Last updated
March 18, 2019

Alexandra Elaine Dehertogh is an Occupational Therapist based in Plymouth, MA. Alexandra Elaine Dehertogh practices in Plymouth, MA and has the professional credentials of MS, OTR/L. The NPI Number for Alexandra Elaine Dehertogh is 1750840740 and holds a License No. 12814 (MA). The current practice location address for Alexandra Elaine Dehertogh is 20 N Park Ave, Plymouth, MA 02360-4090 and can be reached out via phone at 508-830-0999.

Provider Profile Details

NPI Number
1750840740
Provider Name
Alexandra Elaine Dehertogh
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
20 N Park Ave, Plymouth, MA 02360-4090
Phone Number
508-830-0999
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
March 18, 2019
Last Update Date
March 18, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 N Park Ave
Plymouth, MA 02360-4090
Zip
02360-4090
Phone Number
508-830-0999
Plymouth, MA 02360Get directions →

Provider Business Mailing Address Details

Address
20 N Park Ave
Plymouth, MA 02360-4090
City
Plymouth
State
MA
Zip
02360-4090
Phone Number
508-830-0999

License Information

License Number
12814
License State
MA
Taxonomy
Occupational Therapist · 225X00000X · 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 Alexandra E Dehertogh, MS, OTR/L?

The NPI number of Alexandra E Dehertogh, MS, OTR/L is 1750840740. It was assigned on March 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Alexandra E Dehertogh, MS, OTR/L?

Alexandra E Dehertogh, MS, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in MA under license number 12814.

Where does Alexandra E Dehertogh, MS, OTR/L practice?

The practice location is 20 N Park Ave, Plymouth, MA 02360-4090. The office can be reached at 508-830-0999 (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 1750840740 directly on the NPPES registry website.

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