Individual
LAURA ANTONIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7248
Mailing address
105 PERRY ST APT 106, GRAND LEDGE, MI 48837-1394
(530) 520-7914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48413
CA
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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