Individual
ALICIA CANOS-TORRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MOMT
Contact information
Practice address
660 CASCADE WEST PKWY SE STE 25, GRAND RAPIDS, MI 49546-2142
(616) 229-4500
(616) 228-9828
Mailing address
660 CASCADE WEST PKWY SE STE 25, GRAND RAPIDS, MI 49546-2142
(616) 229-4500
(616) 228-9828
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501006157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650D115860
BCBSM
MI
Enumeration date
05/26/2006
Last updated
07/11/2024
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