Provider Demographics
NPI:1316765829
Name:ALVARADO, MARIE MCMEARTY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:MCMEARTY
Last Name:ALVARADO
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 W KING ST FL 2
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2412
Mailing Address - Country:US
Mailing Address - Phone:610-550-9741
Mailing Address - Fax:
Practice Address - Street 1:1695 LENAPE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6801
Practice Address - Country:US
Practice Address - Phone:610-344-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020220225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist