Individual
CARISSA ALTARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
257 ONTARIO CT, NOBLESVILLE, IN 46060-5003
(219) 246-7280
Mailing address
257 ONTARIO CT, NOBLESVILLE, IN 46060-5003
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004191A
IN
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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