Chantale Aleman

Individual provider Active NPI Physical Therapy Assistant · Yucaipa, CA

NPI 1568011997 · NPPES record last updated Sep 9, 2019

Key facts

NPI
1568011997
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
8944 (CA)
Practice address
13555 Canyon Crest Rd
Yucaipa, CA 92399-5825
Phone
(909) 827-4515
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8944CAMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 8944 CA Yes

Addresses

Primary practice location

13555 Canyon Crest Rd
Yucaipa, CA 92399-5825

Mailing address

13555 Canyon Crest Rd
Yucaipa, CA 92399-5825
Phone (909) 827-4515

Other providers in Yucaipa, CA

All providers in Yucaipa, CA · Physical Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.