Provider Demographics
NPI:1326752676
Name:AVELAR, ISABELA D
Entity Type:Individual
Prefix:
First Name:ISABELA
Middle Name:D
Last Name:AVELAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 CASSIDY AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2934
Mailing Address - Country:US
Mailing Address - Phone:774-268-9561
Mailing Address - Fax:
Practice Address - Street 1:161 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649-2662
Practice Address - Country:US
Practice Address - Phone:508-403-6137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist