Provider Demographics
NPI:1497024632
Name:ALANIZ, EVA ANGELINA (OT)
Entity Type:Individual
Prefix:
First Name:EVA
Middle Name:ANGELINA
Last Name:ALANIZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6996 S ZARZAMORA ST
Mailing Address - Street 2:A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78224-1126
Mailing Address - Country:US
Mailing Address - Phone:210-787-1583
Mailing Address - Fax:
Practice Address - Street 1:6996 S ZARZAMORA ST
Practice Address - Street 2:A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78224-1126
Practice Address - Country:US
Practice Address - Phone:210-787-1583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX114504225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist