Provider Demographics
NPI:1912529033
Name:ALVAREZ, ABIGAIL REYNOLDS (OTR)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:REYNOLDS
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83825 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:AL
Mailing Address - Zip Code:36251-7981
Mailing Address - Country:US
Mailing Address - Phone:256-354-1118
Mailing Address - Fax:256-354-1181
Practice Address - Street 1:83825 HIGHWAY 9
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:AL
Practice Address - Zip Code:36251-7981
Practice Address - Country:US
Practice Address - Phone:256-354-1118
Practice Address - Fax:256-354-1181
Is Sole Proprietor?:No
Enumeration Date:2020-05-12
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4939225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist