Individual
DANIELLE ANTOINETTE COLORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
480 4TH AVE STE 509, CHULA VISTA, CA 91910-4414
(619) 951-6790
Mailing address
480 4TH AVENUE SUITE 509, CHULA VISTA, CA 91910
(619) 951-6790
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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