Organization · NPI-2

Avanza Rehabilitation LLC

Occupational Therapist · Chicago, IL

NPI number1962228015
StatusActive
Last updated in NPPESNov 22, 2024

Details

NPI
1962228015
Entity type
Organization (NPI-2)
Legal business name
Avanza Rehabilitation LLC
Organization subpart
No
Enumeration date
Nov 22, 2024
Certification date
Nov 22, 2024
Last updated
Nov 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes
163W00000X Registered Nurse––
224Z00000X Occupational Therapy Assistant––
225100000X Physical Therapist––
225200000X Physical Therapy Assistant––
235Z00000X Speech-Language Pathologist,––

Other names

  • Avanza Occupational Therapy (Doing Business As)

Practice location

9912 S Ewing Ave Unit 1f
Chicago, IL 60617-5565

Phone 312-600-7879

Mailing address

9912 S Ewing Ave Unit 1f
Chicago, IL 60617-5565

Phone 312-600-7879

Authorized official

Alexander L Alvarez
Business Owner
3126007879

Is something wrong?

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