Individual
ANTONIA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24357 PENNSYLVANIA AVE, LOMITA, CA 90717-1948
(805) 825-8099
Mailing address
24357 PENNSYLVANIA AVE, LOMITA, CA 90717
(805) 825-8099
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
04/05/2024
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