Provider Demographics
NPI:1275721961
Name:SOOTER, LIUSLINA ALVIAR (OTR/L, CHT)
Entity Type:Individual
Prefix:MRS
First Name:LIUSLINA
Middle Name:ALVIAR
Last Name:SOOTER
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:MISS
Other - First Name:LIUSLINA
Other - Middle Name:DECENA
Other - Last Name:ALVIAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, CHT
Mailing Address - Street 1:12100 LUCILLE LN # 4
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-4418
Mailing Address - Country:US
Mailing Address - Phone:575-921-5562
Mailing Address - Fax:
Practice Address - Street 1:304 W EVERGREEN AVE STE 101
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-6970
Practice Address - Country:US
Practice Address - Phone:907-745-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2288225X00000X
AKPHYO2445225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist