Individual
ANTONINO FLORA SOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 CHANNING WAY APT 170, SAN RAFAEL, CA 94903-2625
(707) 315-2149
Mailing address
380 CHANNING WAY APT 170, SAN RAFAEL, CA 94903-2625
(707) 315-2149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9635
—
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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