Individual
CHRISTOPHER ANTIOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5221 HANFF LN, NEW PORT RICHEY, FL 34652-4226
(727) 841-0515
Mailing address
9638 VIA SEGOVIA, NEW PORT RICHEY, FL 34655-5203
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA14028
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/08/2007
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