Individual
KAYLA ALCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1222 W COLONY RD, RIPON, CA 95366-9480
(209) 788-6087
Mailing address
4213 TACKETT CT, SALIDA, CA 95368-9762
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50132
CA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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