Provider Demographics
NPI:1689874422
Name:ALVAREZ, MANUEL LAZARO JR (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:MANUEL
Middle Name:LAZARO
Last Name:ALVAREZ
Suffix:JR
Gender:M
Credentials:OTR/L
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Other - First Name:
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Mailing Address - Street 1:3545 WILSHIRE BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-2354
Mailing Address - Country:US
Mailing Address - Phone:310-936-2226
Mailing Address - Fax:310-745-0842
Practice Address - Street 1:3545 WILSHIRE BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2354
Practice Address - Country:US
Practice Address - Phone:310-936-2226
Practice Address - Fax:310-745-0842
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOT 6558225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist