Individual
JESSICA MARIA ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 SW 130TH AVE APT 1608, MIAMI, FL 33183-5231
(305) 710-2870
Mailing address
6100 SW 130TH AVE APT 1608, MIAMI, FL 33183-5231
(305) 710-2870
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5869
OK
225X00000X
Occupational Therapist
Primary
OT20830
FL
Other
Enumeration date
04/01/2020
Last updated
12/06/2023
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