Individual
RICHARD ANTEAU II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2623 COUNTRY SIDE DR, FLEMING ISLAND, FL 32003-4953
(320) 460-0929
Mailing address
2623 COUNTRY SIDE DR, FLEMING ISLAND, FL 32003-4953
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27990
FL
Other
Enumeration date
01/04/2019
Last updated
06/28/2019
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