Individual
MRS. AMY R ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
665 PLANTATION BLVD, MANDEVILLE, LA 70448-7500
(985) 624-4934
Mailing address
665 PLANTATION BLVD, MANDEVILLE, LA 70448-7500
(985) 624-4934
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT Z12081
LA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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