Individual
GABRIELLA LOUISE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
1819 HENDRICKS AVE, STE 2AND3, JACKSONVILLE, FL 32207-3303
(904) 348-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021750
NY
Other
Enumeration date
08/15/2017
Last updated
07/26/2019
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