Individual
CATHERINE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 LAKE BEAUTY DR, SUITE 304, ORLANDO, FL 32806-2037
(917) 971-8566
Mailing address
22 LAKE BEAUTY DR, SUITE304, ORLANDO, FL 32806-2037
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15384
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
803628449-04
COVENTRY HEALTHCARE
FL
Enumeration date
10/14/2016
Last updated
10/14/2016
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