Provider Demographics
NPI:1871919795
Name:VO, ALEXIS (OTR, MOT)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:VO
Suffix:
Gender:F
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 EXECUTIVE CENTER DR
Mailing Address - Street 2:#113
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1600
Mailing Address - Country:US
Mailing Address - Phone:512-359-3703
Mailing Address - Fax:877-671-7191
Practice Address - Street 1:3409 EXECUTIVE CENTER DR
Practice Address - Street 2:#113
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1600
Practice Address - Country:US
Practice Address - Phone:512-359-3703
Practice Address - Fax:877-671-7191
Is Sole Proprietor?:No
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115151225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics