MEDICARE: MS. LESLIE ANN ALVAREZ OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT14558	FL

General Provider Information

NPI Number	:	1679862866
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LESLIE ANN ALVAREZ OTR/L

Provider Business Mailing Address
First Line	:	3614 CARROLLWOOD PLACE CIR
Second Line	:	APT. 202
City	:	TAMPA
State	:	FL
Zip	:	33624-3070
Country	:	US
Telephone Number	:	706-980-5993
Fax Number	:

Provider Business Practice Location Address
First Line	:	6120 CONGRESS ST
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-3909
Country	:	US
Telephone Number	:	727-264-8819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2011
Last Update Date	:	03/29/2011

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