Robert Alvarado, COTA

Individual provider Active NPI Occupational Therapy Assistant · Yuba City, CA

NPI 1164698254 · NPPES record last updated May 9, 2008

Key facts

NPI
1164698254
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA 603 (CA)
Practice address
1282 Stabler LN Ste 630-311
Yuba City, CA 95993-2625
Phone
(916) 233-7388
Fax
(530) 725-4358
NPI assigned
May 7, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA 603CAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 603 CA Yes

Addresses

Primary practice location

1282 Stabler LN Ste 630-311
Yuba City, CA 95993-2625

Mailing address

1282 Stabler LN Ste 630-311
Yuba City, CA 95993-2625
Phone (916) 233-7388

Other identifiers

IdentifierTypeStateIssuer
OTA 603OtherCABOARD OF OCCUPATIONAL THERAPY OF CALIFORNIA

Other providers in Yuba City, CA

All providers in Yuba City, CA · Occupational Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.