Individual
ANTHONY ACO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8520 DE SOTO AVE UNIT 21, CANOGA PARK, CA 91304-2969
(818) 634-5511
Mailing address
8520 DE SOTO AVE UNIT 21, CANOGA PARK, CA 91304-2969
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA47930
CA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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