Individual
ALICIA LYSETTE AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 GAUSE BLVD E, SLIDELL, LA 70461-4223
(985) 781-4545
Mailing address
2837 COYOTE TRL, LITTLE ELM, TX 75068-7320
(512) 563-6402
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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