Basic Information
| Provider Information | |||||||||
| NPI: | 1275177388 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | JONES | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | RENE | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 910 BROOKTREE LN APT 104 | ||||||||
| Address2: | |||||||||
| City: | VISTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920818692 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2708609609 | ||||||||
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| Practice Location | |||||||||
| Address1: | 25150 HANCOCK AVE STE 100 | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925625988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9516987720 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2019 | ||||||||
| LastUpdateDate: | 10/31/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 20441 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.