Organization
ANTONINA'S TLC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONINA BRICHOK P.T. (PRESIDENT)
(305) 705-9366
Entity
Organization
Contact information
Practice address
301 174TH ST, 1903, SUNNY ISLES BEACH, FL 33160-3206
(305) 915-7375
(305) 705-9366
Mailing address
301 174TH ST, 1903, SUNNY ISLES BEACH, FL 33160-3206
(305) 705-9366
(305) 705-9366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16602
FL
Other
Enumeration date
03/16/2006
Last updated
08/22/2020
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