Individual
ANALYNE A ANTONIO-CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
2364 NW ESTAVIEW CIR, CORVALLIS, OR 97330-1065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05559
OR
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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