SearchWisconsin225200000X

Michael Dalcanton, PTA

NPI 1952670481 · on the registry since 2011

Practice

Address
5732 80th St Apt 2
Kenosha, WI 53142
Phone
(262) 697-8572

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin