Individual
MR. MARK JUDE ALONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR, L, SWC
Contact information
Practice address
510 E NAPLES ST, CHULA VISTA, CA 91911-2519
(619) 421-6083
Mailing address
510 E NAPLES ST, CHULA VISTA, CA 91911-2519
(619) 421-6083
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT916
CA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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