Provider Demographics
NPI:1134315591
Name:ALIPALA, CATHERINE MONTANO (OTRL)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MONTANO
Last Name:ALIPALA
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:YEE
Other - Last Name:MONTANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:115 K-LAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MO
Mailing Address - Zip Code:63755
Mailing Address - Country:US
Mailing Address - Phone:573-243-8989
Mailing Address - Fax:573-243-5628
Practice Address - Street 1:115 K-LAND DRIVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MO
Practice Address - Zip Code:63755
Practice Address - Country:US
Practice Address - Phone:573-243-8989
Practice Address - Fax:573-243-5628
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001021470225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist