Basic Information
| Provider Information | |||||||||
| NPI: | 1285286252 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALFARO | ||||||||
| FirstName: | ALEXIS | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6107 VIA LA CANTERA APT 247 | ||||||||
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| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782562601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2104173901 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5441 BABCOCK RD STE 103 | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782403993 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102533888 | ||||||||
| FaxNumber: | 2102533889 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2019 | ||||||||
| LastUpdateDate: | 04/12/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 119496 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.