Individual
DR. ANTHONY O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, RDN, LMT
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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