Individual
JON ANTOINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
42 MENNONITE LN, NEWPORT NEWS, VA 23602-6866
(757) 897-8865
Mailing address
42 MENNONITE LN, NEWPORT NEWS, VA 23602-6866
(757) 897-8865
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602952
VA
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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