Provider Demographics
NPI:1750276317
Name:ALONZO, KATE (OTR/L)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:ALONZO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SOCIETY HILL DR N
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-4852
Mailing Address - Country:US
Mailing Address - Phone:201-577-6152
Mailing Address - Fax:
Practice Address - Street 1:4800 BROADWAY STE 212
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-6544
Practice Address - Country:US
Practice Address - Phone:877-576-4681
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01244600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist