Nichole Marie Alvarado, COTA

Individual provider Active NPI Occupational Therapy Assistant · Mathis, TX

NPI 1669952669 · NPPES record last updated Aug 19, 2018

Key facts

NPI
1669952669
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
210000 (TX)
Practice address
1220 Loop 459
Mathis, TX 78368-1804
Phone
(361) 547-3318
Fax
(361) 547-3737
NPI assigned
Aug 19, 2018
Sex
Female
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
210000TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 210000 TX Yes

Addresses

Primary practice location

1220 Loop 459
Mathis, TX 78368-1804

Mailing address

5710 Palo Verde St
Corpus Christi, TX 78417-2931
Phone (361) 687-9957

Other providers in Mathis, TX

All providers in Mathis, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.