Provider Demographics
NPI:1316024078
Name:ALJURE, OLGA L (OTR)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:L
Last Name:ALJURE
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 1:425 E. LOS EBANOS BLVD.
Mailing Address - Street 2:SUITE 109
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-8443
Mailing Address - Country:US
Mailing Address - Phone:956-622-5059
Mailing Address - Fax:956-554-0540
Practice Address - Street 1:425 E. LOS EBANOS BLVD.
Practice Address - Street 2:SUITE 109
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-8443
Practice Address - Country:US
Practice Address - Phone:956-622-5059
Practice Address - Fax:956-554-0540
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
TX110508225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110508OtherLICENSE #