Individual
CARINA CACANINDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12772 71ST ST APT 302, KENOSHA, WI 53142-8431
(478) 342-5253
Mailing address
12772 71ST ST APT 302, KENOSHA, WI 53142-8431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14056-24
WI
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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