Provider Demographics
NPI:1437845849
Name:NAVA, ADRIAN ISMAEL (OTR, LSVT-BIG)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:ISMAEL
Last Name:NAVA
Suffix:
Gender:M
Credentials:OTR, LSVT-BIG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7546 SOUTHMOST RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-9102
Mailing Address - Country:US
Mailing Address - Phone:956-335-7231
Mailing Address - Fax:
Practice Address - Street 1:1725 BOCA CHICA BLVD, STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-621-0277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-18
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121859225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist