Healthcare Provider Details

I. General information

NPI: 1942123484
Provider Name (Legal Business Name): SARINA MARIE ALVARADO OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2871 HIGHWAY 31 W
WHITE HOUSE TN
37188-5226
US

IV. Provider business mailing address

4086 IRONWOOD DR
COOPERTOWN TN
37073-4145
US

V. Phone/Fax

Practice location:
  • Phone: 615-672-3636
  • Fax:
Mailing address:
  • Phone: 859-556-3251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number8488
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: