Provider Demographics
NPI:1285896613
Name:ALEXANDER, CYNTHIA DIANE (OT,MS,CHT,CLT)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:DIANE
Last Name:ALEXANDER
Suffix:
Gender:F
Credentials:OT,MS,CHT,CLT
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:DIANE
Other - Last Name:ALEXANDER-GARRETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR,MS,CHT,CLT
Mailing Address - Street 1:8711 VILLAGE DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5418
Mailing Address - Country:US
Mailing Address - Phone:210-297-2726
Mailing Address - Fax:210-297-0215
Practice Address - Street 1:8550 DATAPOINT DR
Practice Address - Street 2:SUITE 110
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3270
Practice Address - Country:US
Practice Address - Phone:210-615-5350
Practice Address - Fax:210-615-5360
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100117225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX100117OtherLICENSE