Individual
STEPHEN JOHN ANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2235 E FLAMINGO RD STE 170, LAS VEGAS, NV 89119-5186
(702) 893-3333
(702) 893-0960
Mailing address
2235 E FLAMINGO RD STE 170, LAS VEGAS, NV 89119-5186
(702) 893-3333
(702) 893-0960
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1330
NV
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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