Andrea Elena Alcantara
Rehabilitation Practitioner in Riverside, CA. Individual provider (NPI-1).
NPI number1306578539
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1306578539
- Entity type
- Individual (NPI-1)
- Name
- Andrea Elena Alcantara
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2022
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA |
Practice location
3499 10th StRiverside, CA 92501-3617
Phone 951-358-7309
Mailing address
1200 Concord Ave Ste 100Concord, CA 94520-4969
Other practice locations
1481 Windsor Dr
San Bernardino, CA 92404-5416
San Bernardino, CA 92404-5416
Phone 909-361-6470
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