Individual
ALFONSO OSUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1281 GEORGIA ST, IMPERIAL BEACH, CA 91932-3614
(619) 622-9550
Mailing address
PO BOX 986, IMPERIAL BEACH, CA 91933-0986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA49508
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
282782-00
SIMNSA
CA
Enumeration date
02/22/2023
Last updated
03/10/2023
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