Individual
DR. ANTHONY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, RDN, LMT
Contact information
Practice address
7840 OLD REDWOOD HWY, COTATI, CA 94931-5106
(707) 795-1636
Mailing address
513 FAIRFIELD WAY, EVANS, GA 30809-3619
(706) 414-2551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD004776
GA
225100000X
Physical Therapist
Primary
299469
CA
225700000X
Massage Therapist
MT005063
GA
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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