Individual
ADRIENNE ALCANTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3148 W CHERRY ST, RIALTO, CA 92376-7185
(909) 496-1925
Mailing address
3148 W CHERRY ST, RIALTO, CA 92376-7185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4659
CA
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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