Jessica Alvillar
Individual provider Active NPI Occupational Therapy Assistant · Apache Junction, AZ
NPI 1629634779 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1629634779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5650 (AZ)
- Practice address
- 2012 W Southern Ave
Apache Junction, AZ 85120-7305 - Phone
- (480) 983-0770
- NPI assigned
- May 14, 2019
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5650 | AZ | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5650 | AZ | Yes |
Addresses
Primary practice location
2012 W Southern Ave
Apache Junction, AZ 85120-7305
Mailing address
2313 E Carol Ave
Mesa, AZ 85204-2911
Phone (480) 201-3914
Other providers in Apache Junction, AZ
- Suzanne Marie Alexander
- Aligned 2021
- Marguerite Allen
- Sophia Renee Alonzo
- Vivienne Elizabeth Alonzo
- Ama Radiology Associates, LLC
- Lora A Andrews
- Brianne Sa-Fire Angeles
- Anthony M Dominic Sr DO PC
- Apache Angels Love Care LLC
All providers in Apache Junction, AZ · Occupational Therapy Assistant in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.