Provider Demographics
NPI:1417145368
Name:ALVAREZ-LINEHAN, BELLA
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:
Last Name:ALVAREZ-LINEHAN
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 1:2701 SW 13TH ST
Mailing Address - Street 2:APT C20
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32608-2084
Mailing Address - Country:US
Mailing Address - Phone:954-536-6447
Mailing Address - Fax:
Practice Address - Street 1:2701 SW 13TH ST
Practice Address - Street 2:APT C20
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32608-2084
Practice Address - Country:US
Practice Address - Phone:954-536-6447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist