Healthcare Provider Details

I. General information

NPI: 1912814336
Provider Name (Legal Business Name): NANCY ALVARADO OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N RAYMOND AVE
PASADENA CA
91103-1819
US

IV. Provider business mailing address

1520 N RAYMOND AVE
PASADENA CA
91103-1819
US

V. Phone/Fax

Practice location:
  • Phone: 626-396-5840
  • Fax:
Mailing address:
  • Phone: 626-396-5840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number14029
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: