Individual
CAROL A. ANTOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9156 ELK GROVE BLVD, ELK GROVE, CA 95624-2013
(916) 684-4100
(916) 684-5299
Mailing address
9156 ELK GROVE BLVD, ELK GROVE, CA 95624-2013
(916) 684-4100
(916) 684-5299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 13470
CA
Other
Enumeration date
07/29/2006
Last updated
04/12/2011
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