Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT10412 | FL |
NPI | 1144852997 |
---|---|
Provider Name | Rachel Alonzo |
First Address | Jacksonville, FL 32256-2952 |
Second Address | Jacksonville, FL 32224-1865 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2020 |
Last Update Date | 05/01/2021 |