Provider Demographics
NPI:1275803355
Name:ALEMAN, KATERINA (OTR)
Entity Type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:ALEMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17316 NW 74TH AVE
Mailing Address - Street 2:APT 101
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-7172
Mailing Address - Country:US
Mailing Address - Phone:786-208-9237
Mailing Address - Fax:
Practice Address - Street 1:489 HIALEAH DR
Practice Address - Street 2:SUITE 10
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5320
Practice Address - Country:US
Practice Address - Phone:786-953-6302
Practice Address - Fax:786-953-6664
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL290511225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist