Individual
ALTHEA ALCIDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3820 W JACKSON ST, MUNCIE, IN 47304-3605
(765) 289-3451
Mailing address
1613 SOUTH OHARE BLVD, YORKTOWN, IN 47396
(765) 759-9809
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008225A
IN
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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