Organization
AVANZA REHABILITATION LLC
Active
Other names
Avanza Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER L ALVAREZ MS, OTR/L (BUSINESS OWNER)
(312) 600-7879
Entity
Organization
Contact information
Practice address
9912 S EWING AVE UNIT 1F, CHICAGO, IL 60617-5565
(312) 600-7879
Mailing address
9912 S EWING AVE UNIT 1F, CHICAGO, IL 60617-5565
(312) 600-7879
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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