Provider Demographics
NPI:1619265519
Name:CAIVANO-ALEJO, SILVINA BIBIANA (OT)
Entity Type:Individual
Prefix:MRS
First Name:SILVINA
Middle Name:BIBIANA
Last Name:CAIVANO-ALEJO
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 1:16269 LAGUNA CANYON RD
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3603
Mailing Address - Country:US
Mailing Address - Phone:949-788-9236
Mailing Address - Fax:
Practice Address - Street 1:9085 GRAND CIR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5884
Practice Address - Country:US
Practice Address - Phone:714-821-6790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11937225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist