Provider Demographics
NPI:1023793957
Name:LOZADA-PELCZYNSKI, ALEXANDRA V (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRA
Middle Name:V
Last Name:LOZADA-PELCZYNSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6019 ARCHSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-5524
Mailing Address - Country:US
Mailing Address - Phone:516-732-2062
Mailing Address - Fax:
Practice Address - Street 1:6019 ARCHSTONE WAY
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-5524
Practice Address - Country:US
Practice Address - Phone:516-732-2062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-19
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119009755225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontologyGroup - Multi-Specialty