Individual
MICHAEL DALCANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5732 80TH ST APT 2, KENOSHA, WI 53142-4185
(262) 697-8572
Mailing address
5732 80TH ST APT 2, KENOSHA, WI 53142-4185
(262) 697-8572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1548-19
WI
Other
Enumeration date
12/29/2011
Last updated
12/29/2011
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