Individual
MIGUEL ALCANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1851 ELKCAM BLVD, DELTONA, FL 32725-3922
(386) 789-3769
Mailing address
145 MILLER RD, DELAND, FL 32724-4642
(386) 717-3401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18051
FL
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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