Individual
KRISTINA MALAST-ALVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
28100 TORCH PKWY, WARRENVILLE, IL 60555-4026
(630) 413-5800
Mailing address
1112 N RUSH ST, GARY, IN 46403-1484
(219) 916-8252
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003000A
IN
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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