Provider Demographics
NPI:1194955369
Name:ALEXANDER, DARI GAY (OTR)
Entity type:Individual
Prefix:
First Name:DARI
Middle Name:GAY
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:CO
Mailing Address - Zip Code:81643-0444
Mailing Address - Country:US
Mailing Address - Phone:970-268-5200
Mailing Address - Fax:
Practice Address - Street 1:2845 N 15TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-5219
Practice Address - Country:US
Practice Address - Phone:970-245-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1852225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist