Individual
MRS. BRENDA ALVAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1842 EVERGREEN CT, CROWN POINT, IN 46307-7051
(219) 677-2597
Mailing address
1842 EVERGREEN COURT, CROWN POINT, IN 46307
(219) 677-2597
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001455A
IN
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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