Individual
ANTONY JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 CORPORATE DR STE 280, FORT LAUDERDALE, FL 33334-3628
(954) 210-8008
Mailing address
2140 W VAN BUREN ST APT 2, CHICAGO, IL 60612-4821
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023404
IL
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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