Individual
ALICIA LAVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(956) 533-8923
Mailing address
540 W MERCHANT ST, AUDUBON, NJ 08106-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10921
CA
Other
Enumeration date
11/12/2009
Last updated
09/14/2019
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