IndividualActive
Allexis Tracy, COTA/L
NPI 1841000122 · Occupational Therapy Assistant · Fargo, ND
Provider details
- NPI number
- 1841000122
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 1993 (ND)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6681 56th Ave S
Fargo, ND 58104-5655
Phone: (701) 212-1215
Fax: (701) 540-0191
Approximate (ZIP-level) locationGet directions
Mailing address
6681 56th Ave S
Fargo, ND 58104-5655
Registry dates
- Enumerated
- 2025-01-09
- Last updated
- 2025-01-09
- Certified
- 2025-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.