Individual
TRUDY ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1002 DEERBERRY RD, GOOSE CREEK, SC 29445-4746
(843) 566-4857
Mailing address
1002 DEERBERRY RD, GOOSE CREEK, SC 29445-4746
(843) 566-4857
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
3228
SC
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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