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Individual

JACQUELINE ALCANTARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 NORMAL ST, SAN DIEGO, CA 92103-2653
(619) 725-5501
Mailing address
9609 LAKEVIEW RD, LAKESIDE, CA 92040-4747

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
25462
CA
225XP0200X
Pediatric Occupational Therapist
Primary
CA

Other

Enumeration date
09/07/2023
Last updated
03/24/2026
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