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Individual
PATRICIA ANTTILA
Active
Individual
PATRICIA ANTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT20786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0PT207860
BLUE SHIELD
CA
05
—
P00046838
—
CA
Enumeration date
01/10/2007
Last updated
06/03/2026
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