Provider Demographics
NPI:1568344364
Name:BRAUNIG, ALEXA
Entity type:Individual
Prefix:MISS
First Name:ALEXA
Middle Name:
Last Name:BRAUNIG
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ALLY
Other - Middle Name:
Other - Last Name:BRAUNIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SOME COLLEGE
Mailing Address - Street 1:329 HOOVEN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-1734
Mailing Address - Country:US
Mailing Address - Phone:513-376-3204
Mailing Address - Fax:
Practice Address - Street 1:329 HOOVEN AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1734
Practice Address - Country:US
Practice Address - Phone:513-376-3204
Practice Address - Fax:513-376-3204
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-23
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003388225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist