Antonio De Jesus Carrasco
NPI #1265104632 in Great Bend, Kansas
Provider Information
- NPI Number
- 1265104632
- Entity Type
- Individual
- Name
- Antonio De Jesus Carrasco
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 4, 2021
- Last Updated
- Oct 4, 2021
Practice Location
- Address
- 1818 BAKER AVE
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-2726
- Phone
- (620) 617-3259
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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