Alena Marie Avalos, PTA

Individual provider Active NPI Physical Therapy Assistant · Lorain, OH

NPI 1255451670 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255451670
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
06150 (OH)
Practice address
3364 Kolbe Rd
Lorain, OH 44053
Phone
(440) 282-2244
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

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
06150OHMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 06150 OH Yes

Addresses

Primary practice location

3364 Kolbe Rd
Lorain, OH 44053

Mailing address

1903 E. 34TH St
Lorain, OH 44055

Other providers in Lorain, OH

All providers in Lorain, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.