Individual
KRISTEN NICOLE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
223 CHICAGO AVE, GOSHEN, IN 46526-2311
(574) 584-3200
(574) 584-3204
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004819A
IN
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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